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  • Title: [Therapeutic aspects of dehiscence of a laparotomy wound after a digestive fistula or following intervention for acute pancreatitis].
    Author: Reynaert MS, Otte JB, Kestens PJ, Schmitz C, Tremouroux J.
    Journal: Acta Chir Belg; 1981; 80(1):27-35. PubMed ID: 6789591.
    Abstract:
    Fourteen cases of digestive fistulas, complicated by a dehiscence of the laparotomy wound, are described. Ten patients have a single fistula and 4 have multiple digestive fistulas. There were eleven survivors. This represents a mortality of 21.4%. In 9 cases, the spontaneous recovery of the fistulated zone is followed by a losing of the laparotomy wound. In 2 cases, surgical intervention was necessary to permit the recovery of the fistula and of the dehiscence of the laparotomy. The treatment of such patients requires a mean hospitalization in an intensive care ward of about 48 days +/- 25.8 (SD). The authors report the different therapeutic aspects : the nutritional support, the control of the infection and of the locoregional and systemic complications.
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