Features and choice of surgical strategy in patients with gastrointestinal fistulas

Radical treatment of unformed intestinal fistulas

“…This is due to the entrenched view among practicing surgeons about the risks of resection methods to treat unformed small bowel fistulas, especially in peritonitis, severe conditions of patients, severe infiltration and perifistular skin maceration, as well as about sufficient efficacy of excision of the fistula margins and closure of the fistula, the use of obturators, pelottes and negative pressure to remove or transfer the unformed fistulas to tubular; various devices for reinfusion of intestinal discharge [5]. At present, the dissatisfaction of practical surgeons with the generally accepted methods of treating unformed enteric fistulas and high mortality among this group of patients leads to the most detailed study of this problem.…”