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Management of external small bowel fistulae: Challenges and controversies confronting the general surgeon  Daniel E. Wainstein, Victoria Tüngler, Constanza.

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Presentation on theme: "Management of external small bowel fistulae: Challenges and controversies confronting the general surgeon  Daniel E. Wainstein, Victoria Tüngler, Constanza."— Presentation transcript:

1 Management of external small bowel fistulae: Challenges and controversies confronting the general surgeon  Daniel E. Wainstein, Victoria Tüngler, Constanza Ravazzola, Osvaldo Chara  International Journal of Surgery  Volume 9, Issue 3, Pages (January 2011) DOI: /j.ijsu Copyright © 2010 Surgical Associates Ltd Terms and Conditions

2 Fig. 1 ESBF Treatment Guide. Schematic diagram of practical therapeutic ESBF management. International Journal of Surgery 2011 9, DOI: ( /j.ijsu ) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

3 Fig. 2 Sub-atmospheric Pressure (Vacuum-Compaction) System. Illustration of the technical device applying sub-atomospheric pressure. International Journal of Surgery 2011 9, DOI: ( /j.ijsu ) Copyright © 2010 Surgical Associates Ltd Terms and Conditions

4 Fig. 3 Compaction Chamber. A) Karaya paste is spread on the skin of the abdomen. The paste is then covered with a coat of polymer fibers where the evacuation tubes are embedded and finally sealed with polythene film. B) Application of sub-atmospheric pressure leads to polymer contraction. This causes tension on the fistula orifice and forces the wound edges together. International Journal of Surgery 2011 9, DOI: ( /j.ijsu ) Copyright © 2010 Surgical Associates Ltd Terms and Conditions


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