A Ten-Year Review of Enterocutaneous Fistulas After Laparotomy for Trauma

Abstract

With damage-control laparotomies, the traumatic ECF rate is increasing and is a different entity than nontraumatic ECF. Although the two populations have similar mortality rates, the trauma cohort demonstrates higher spontaneous closure rates and a curiously higher rate of development in men. Fistula output was not predictive of spontaneous closure.

The effect of damage control laparotomy on major abdominal complications: A matched analysis

“…3,14,15,16,17,18 While the results of this study were not surprising, this analysis adds to the existing literature attempting to determine the treatment effect of DCL on post-operative morbidity by using novel methodology.…”

Ventral hernia: Patient selection, treatment, and management

“…148,149,165 Because of a multitude of associated complications, there should be substantial justification for its use. [165][166][167][168] After the decision to leave the abdomen open is made, the next decision is the type of TAC. There are many devices to choose from and all have the same basic premise -constant fascial tension.…”

A Randomized Controlled Trial on Intra-Abdominal Irrigation during Emergency Trauma Laparotomy; Time for Yet Another Paradigm Shift

“…at the time of the original sample calculation) English biomedical literature to query the known incidence of the complications of interest after a trauma laparotomy which could be theoretically preventable by the use of abdominal irrigation [12][13][14][15][16][17][18][19][20], and cross referenced with current literature for continued relevancy ( Table 1). The compiled risks of incidence were then used to make the calculation, using a power of 80% and twosided 5% significance level (and aiming for clinical superiority), performing a Bonferroni adjustment for three comparisons per variable, and selecting the largest (which was abscess formation) resulting in a sample size of 68 subjects per arm (after adjustments for possible 2% crossover between groups).…”