Intestinal fistulas Intestinal fistula II Medical artificial wormholes

Intestinal fistulas

Intestinal fistula II. Medical - artificial wormholes I. Congenital III. Abnormal intestinal fistulas Intestinal fistula - a message from the intestinal lumen surface of the body lumen or other hollow organ.

Medical - artificial wormholes In order to decompress the intestine гастростом энтеростома колосто

Medical - artificial wormholes In order to supply the patient Гастростома Энтеростома Питательные вещества

Technical resources for food Roller Pumps Probes and catheters Reservoirs

Medical - artificial wormholes One of the stages of surgical intervention Hartmann operation

The causes of fistula after operation • • • Acute appendicitis 49. 3% Acute cholecystitis 14. 8% Acute intestinal obstruction 12. 3% Hernia strangulation 8. 4% The trauma of the abdomen 8. 7% Other diseases 6. 5%

The mechanism of development of intestinal fistula The continued presence of drainage tubes The failure of sutures intestinal fistula Neglect with the tissue during operations Capture intestine on sutures

Intestinal fistulas Internal Moulded Through the cavity Thinly intestinal Outdoor Complete Moulmed Opening liping Thick intestinal Not complicated Moulded Кучимли Mixed Complicated Tubular Complex

Varieties of immature (open) intestinal fistulae

Moulded intestinal fistulas liping Tubular

Complete and incomplete intestinal fistulas

incomplete intestinal fistulas

incomplete intestinal fistulas

Complete intestinal fistulas

Treatment Create optimal conditions for the formation of immature fistulas • Prevent the spread of intestinal contents into the abdominal cavity, to create conditions for the restriction of the process (the formation of intestinal fistula) • Create conditions for free outflow of intestinal contents • Decompression of the afferent loop • Active aspiration • Install drainage and other

Treatment Compensate for the loss and prevent metabolic disease. • Return of the lost intestinal juice through the fistula • Infusion (electrolyte solutions, carbohydrates, amino acids, blood, plasma, vitamins, etc. ) • Parenteral nutrition (Infezol, Selemin, Selepid) • Enteral nutrition through a tube

Treatment Surgery, antibiotic therapy and anti-inflammatory • • • Broad-spectrum antibiotics, sulfonamides Restorative therapy Immunotherapy Prevent stagnation of intestinal contents in the fistula Prevention of inflammation of the skin around the wound (Lassara pasta, etc. ) • During the attempted operation (elimination of intestinal fistula)

Methods return a lost of intestinal contents into the intestine.

Methods return a lost of intestinal contents into the intestine.

Methods return a lost of intestinal contents into the intestine.

Methods for elimination of intestinal fistulas Resection of the small intestine with fistulas course and entero-entero anastamoz

Methods for elimination of intestinal fistulas Resection of the colon with fistulas course and entero-entero anastamoz

Methods for elimination of intestinal fistulas. The wedge resection of enteral fistula

Methods for elimination of intestinal fistulas Resection of the colon in place with a fistula