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The Management of the Entero-Atmospheric Fistula (EAF)
Fig. 25.1 Budding mucosa (arrow) below the VICRYL mesh in an open abdomen In this clinical presentation, the fistula presented is termed an “entero-atmospheric fistula” (EAF). It is a fistula without…
The Planning for the “Planned Ventral Hernia”
Fig. 19.1 Flow diagram representing the 3-staged approach to abdominal closure. Reproduced with permission from Dicocco et al. [7] Fig. 19.2 Pinching the split-thickness skin graft from the underlying viscera, indicating the…
Soft Tissue Necrotizing Infection Due to Perforated Colon
Gram + aerobic Gram − aerobic Anaerobic Marine vibrio Fungi Group A streptococcus Escherichia coli (cirrhosis) Bacteroides sp. (DM) Vibrio vulnificus (cirrhosis) Candida (immunosuppression) Group B Streptococcus (DM) Pseudomonas aeruginosa…
Acute Necrotizing Pancreatitis
Severity in acute pancreatitis: original versus revised Atlanta classification 1993 2013 Mild acute pancreatitis Mild acute pancreatitis Absence of organ failure Absence of organ failure Absence of local complications Absence…
Small Bowel: Aortoenteric Fistula
Fig. 12.1 a Anterior displacement of the duodenum by tortuous aortic graft placement resulting in aorto-duodenal fistula (b) The fistulas are usually all characterized structurally as being stuck to the aorta…