التفاصيل البيبلوغرافية
| العنوان: |
Successful treatment of an ileal conduit fistula with negative pressure: report of a case. |
| المؤلفون: |
Mengxiao Jiang, Huiming Lu, Meichun Zheng, Baojia Luo, Huiying Qin |
| المصدر: |
World Council of Enterostomal Therapists Journal; Sep2020, Vol. 40 Issue 3, p19-23, 5p |
| مصطلحات موضوعية: |
BLADDER tumors, URINARY fistula, URINARY diversion, TREATMENT effectiveness, CYSTECTOMY, NEGATIVE-pressure wound therapy |
| مستخلص: |
Aim To present the management of a patient who developed a fistula from a uretero-ileostomy anastomosis of the ileal conduit by applying intra-conduit negative pressure through a dual tube. Case report The patient was a 73-year-old man diagnosed with bladder cancer who underwent a radical cystectomy and formation of an ileal conduit in our centre. A fistula occurred in the ileal conduit less than 1 week after the surgery. Urine leaked continuously into the pelvic cavity which put the patient at risk of fluid and electrolyte imbalances. A further operation to suture the fistula to contain the leakage was suggested. To save the patient from a further operation, intra-conduit negative pressure through a dual tube was attempted to assist with management of the fistula. This conservative treatment promoted successful closure of the fistula. Method It is clinically challenging to manage a urinary fistula associated with an ileal conduit in a conservative way. This is because the fistula is deep within the body cavity and it is almost impossible for the fistula to heal spontaneously. The literature reveals previous conservative treatment has been mostly unsuccessful. Surgical suturing of the fistula is the most used method but is not always an ideal choice. By applying intra-conduit negative pressure through a dual tube system to the ileal conduit, the aim was to facilitate closure of the fistula. Conclusion In this case report the application of intra-conduit negative pressure through a dual tube to contain a fistula from a uretero-ileostomy anastomosis of an ileal conduit was found to be safe and effective. This method of conservative treatment is worth promoting. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
