Surgical Management of Open Abdomen with Barker Dressing

Authors

  • Lara Santana Rodrigues Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil Author
  • Ana Luiza Nogueira de Sousa Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil Author
  • Mariana Xavier da Silveira Furlan Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil Author
  • Mariana Rodrigues Borgomoni Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil Author
  • Jeniffer Colman Pacifico Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil Author
  • Letícia Rocha Damasceno Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil Author
  • João Kleber de Almeida Gentile Surgeon of the Digestive System. Titular Specialist Member of the Brazilian College of Digestive Surgery (CBCD). Fellow of the American College of Surgeons (FACS). Professor of the Discipline of Operative Technique and Surgical Skills at the Medical School of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil Author

DOI:

https://doi.org/10.47363/JGHR/2023(4)149

Keywords:

Negative-Pressure Wound Therapy, Vacuum-Assisted Closure, Vacuum-Assisted Therapy, Open Abdomen, Open Abdomen Techniques, Enteroatmospheric, Fistula, Enteric Fistula, Barker Dressing

Abstract

This literature review aims to analyze the surgical treatment of enteroatmospheric fistula (EAF) and its effectiveness. Based on studies carried out from 2013 to 2022 in the PubMed, Google Academic, and Medline databases to analyze the surgical technique of the case report and compare it with other literature. The enteroatmospheric fistula (EAF), as its name indicates, is defined as an opening that connects the gastrointestinal tract and the atmosphere, located in an open abdomen, being a consequence of abdominal surgeries, traumas, perforations, ischemia, and leakage of the anastomosis after surgery. The amount of time the abdomen stays open is directly related to the risk of EAF. That is, the longer the time with the abdomen open, the more significant the risk of EAF. Among the types of fistulas, those with a high volume (>500mL) are considered the most lethal. Spontaneous closure is complex and rare, as there is not an abundance of vascularized tissue in the region, in addition to the fact that the tissue is in constant contact with the contents of the gastrointestinal tract, causing tissue irritation and delaying healing speed. Surgical procedures may be necessary.

Author Biographies

  • Lara Santana Rodrigues, Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil


    Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

  • Ana Luiza Nogueira de Sousa, Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

    Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

  • Mariana Xavier da Silveira Furlan, Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

    Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

  • Mariana Rodrigues Borgomoni, Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

    Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

  • Jeniffer Colman Pacifico, Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil


    Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

  • Letícia Rocha Damasceno, Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil


    Student of Medical Sciences at the Faculty of Medicine of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

  • João Kleber de Almeida Gentile, Surgeon of the Digestive System. Titular Specialist Member of the Brazilian College of Digestive Surgery (CBCD). Fellow of the American College of Surgeons (FACS). Professor of the Discipline of Operative Technique and Surgical Skills at the Medical School of the City of São Paulo University (FM-UNICID), Sao Paulo, SP, Brazil

    Surgeon of the Digestive System. Titular Specialist Member of the Brazilian College of Digestive Surgery (CBCD). Fellow of the American College of Surgeons (FACS). Professor of the Discipline of Operative Technique and Surgical Skills at the Medical School of the City of São Paulo University (FM-UNICID), Sao
    Paulo, SP, Brazil

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Published

2023-02-20

Issue

Vol. 4 No. 1 (2023): Volume 4 Issue 1

Section

Articles