An abnormal passage or communication leading from an internal organ to the surface of the body.
Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.
Abnormal passage communicating with the STOMACH.
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
An abnormal passage or communication between a bronchus and another part of the body.
An abnormal passage between two or more BLOOD VESSELS, between ARTERIES; VEINS; or between an artery and a vein.
An abnormal anatomical passage connecting the RECTUM to the outside, with an orifice at the site of drainage.
An abnormal passage in any part of the URINARY TRACT between itself or with other organs.
Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.
Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
Abnormal passage communicating with the PANCREAS.
An abnormal anatomical passage between the RECTUM and the VAGINA.
An abnormal passage in the oral cavity on the gingiva.
Tumors or cancer of the MANDIBLE.
A species in the ORTHOBUNYAVIRUS genus of the family BUNYAVIRIDAE family. Previously a large group of serotypes, most are now considered separate species.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The branch of surgery concerned with restoration, reconstruction, or improvement of defective, damaged, or missing structures.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
Lack of perfusion in the EXTREMITIES resulting from atherosclerosis. It is characterized by INTERMITTENT CLAUDICATION, and an ANKLE BRACHIAL INDEX of 0.9 or less.
Restoration of integrity to traumatized tissue.
Inanimate objects that become enclosed in the body.
A highly vascularized endocrine gland consisting of two lobes joined by a thin band of tissue with one lobe on each side of the TRACHEA. It secretes THYROID HORMONES from the follicular cells and CALCITONIN from the parafollicular cells thereby regulating METABOLISM and CALCIUM level in blood, respectively.
A group of cold-blooded, aquatic vertebrates having gills, fins, a cartilaginous or bony endoskeleton, and elongated bodies covered with scales.
The part of a human or animal body connecting the HEAD to the rest of the body.
The collective name for the islands of the Pacific Ocean northeast of Australia, including NEW CALEDONIA; VANUATU; New Hebrides, Solomon Islands, Admiralty Islands, Bismarck Archipelago, FIJI, etc. Melanesia (from the Greek melas, black + nesos, island) is so called from the black color of the natives who are generally considered to be descended originally from the Negroid Papuans and the Polynesians or Malays. (From Webster's New Geographical Dictionary, 1988, p748 & Room, Brewer's Dictionary of Names, 1992, p344)
The human male sex chromosome, being the differential sex chromosome carried by half the male gametes and none of the female gametes in humans.
Persons living in the United States of Mexican descent.
Application of computer programs designed to assist the physician in solving a diagnostic problem.
The ability to speak, read, or write several languages or many languages with some facility. Bilingualism is the most common form. (From Random House Unabridged Dictionary, 2d ed)
A condition in which total serum protein level is below the normal range. Hypoproteinemia can be caused by protein malabsorption in the gastrointestinal tract, EDEMA, or PROTEINURIA.
Prolonged shortening of the muscle or other soft tissue around a joint, preventing movement of the joint.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
An imbalanced nutritional status resulted from insufficient intake of nutrients to meet normal physiological requirement.
Further or repeated use of equipment, instruments, devices, or materials. It includes additional use regardless of the original intent of the producer as to disposability or durability. It does not include the repeated use of fluids or solutions.
A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Common urological problems include urinary obstruction, URINARY INCONTINENCE, infections, and UROGENITAL NEOPLASMS.
Members of the phylum Arthropoda, composed of organisms having a hard, jointed exoskeleton and paired jointed legs. It includes the class INSECTS and the subclass ARACHNIDA, many species of which are important medically as parasites or as vectors of organisms capable of causing disease in man.
Property, such as patents, trademarks, and copyright, that results from creative effort. The Patent and Copyright Clause (Art. 1, Sec. 8, cl. 8) of the United States Constitution provides for promoting the progress of science and useful arts by securing for limited times to authors and inventors, the exclusive right to their respective writings and discoveries. (From Black's Law Dictionary, 5th ed, p1014)
Remains, impressions, or traces of animals or plants of past geological times which have been preserved in the earth's crust.
The terms, expressions, designations, or symbols used in a particular science, discipline, or specialized subject area.
Informed consent given by a parent on behalf of a minor or otherwise incompetent child.
Acute pain that comes on rapidly despite the use of pain medication.
Insulin derivatives and preparations that are designed to induce a rapid HYPOGLYCEMIC EFFECT.
Administration of a soluble dosage form between the cheek and gingiva. It may involve direct application of a drug onto the buccal mucosa, as by painting or spraying.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
Pain associated with OBSTETRIC LABOR in CHILDBIRTH. It is caused primarily by UTERINE CONTRACTION as well as pressure on the CERVIX; BLADDER; and the GASTROINTESTINAL TRACT. Labor pain mostly occurs in the ABDOMEN; the GROIN; and the BACK.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
A malignant neoplasm that may be classified either as a glioma or as a primitive neuroectodermal tumor of childhood (see NEUROECTODERMAL TUMOR, PRIMITIVE). The tumor occurs most frequently in the first decade of life with the most typical location being the cerebellar vermis. Histologic features include a high degree of cellularity, frequent mitotic figures, and a tendency for the cells to organize into sheets or form rosettes. Medulloblastoma have a high propensity to spread throughout the craniospinal intradural axis. (From DeVita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2060-1)
Primary or metastatic neoplasms of the CEREBELLUM. Tumors in this location frequently present with ATAXIA or signs of INTRACRANIAL HYPERTENSION due to obstruction of the fourth ventricle. Common primary cerebellar tumors include fibrillary ASTROCYTOMA and cerebellar HEMANGIOBLASTOMA. The cerebellum is a relatively common site for tumor metastases from the lung, breast, and other distant organs. (From Okazaki & Scheithauer, Atlas of Neuropathology, 1988, p86 and p141)
Surgical insertion of an electronic hearing device (COCHLEAR IMPLANTS) with electrodes to the COCHLEAR NERVE in the inner ear to create sound sensation in patients with residual nerve fibers.
Endoscopes for examining the interior of the larynx.
A comprehensive radiation treatment of the entire CENTRAL NERVOUS SYSTEM.
Pathological processes of the ear, the hearing, and the equilibrium system of the body.
An inorganic and water-soluble platinum complex. After undergoing hydrolysis, it reacts with DNA to produce both intra and interstrand crosslinks. These crosslinks appear to impair replication and transcription of DNA. The cytotoxicity of cisplatin correlates with cellular arrest in the G2 phase of the cell cycle.

Cardiocutaneous fistula. (1/133)

Infection of the Teflon pledgets on the heart suture line after left ventricular aneurysm repair, presenting late with a fistulous tract connecting the heart with the skin (cardiocutaneous fistula) is an uncommon but potentially serious condition. The case is reported of a 73 year old man who developed a cardiocutaneous fistula extending through the left hemidiaphragm and draining at the abdominal wall, which developed six years after left ventricular aneurysmectomy. Following radiographic evaluation, which established the diagnosis, the Teflon pledgets and fistulous tract were successfully surgically removed. Prompt diagnosis depends on a high index of suspicion. Eradication of infection requires excision of infected material, which must be planned on an individual basis.  (+info)

Infliximab for the treatment of fistulas in patients with Crohn's disease. (2/133)

BACKGROUND: Enterocutaneous fistulas are a serious complication of Crohn's disease and are difficult to treat. Infliximab, a chimeric monoclonal antibody to tumor necrosis factor alpha, has recently been developed as a treatment for Crohn's disease. We conducted a randomized, multicenter, double-blind, placebo-controlled trial of infliximab for the treatment of fistulas in patients with Crohn's disease. METHODS: The study included 94 adult patients who had draining abdominal or perianal fistulas of at least three months' duration as a complication of Crohn's disease. Patients were randomly assigned to receive one of three treatments: placebo (31 patients), 5 mg of infliximab per kilogram of body weight (31 patients), or 10 mg of infliximab per kilogram (32 patients); all three were to be administered intravenously at weeks 0, 2, and 6. The primary end point was a reduction of 50 percent or more from base line in the number of draining fistulas observed at two or more consecutive study visits. A secondary end point was the closure of all fistulas. RESULTS: Sixty-eight percent of the patients who received 5 mg of infliximab per kilogram and 56 percent of those who received 10 mg per kilogram achieved the primary end point, as compared with 26 percent of the patients in the placebo group (P=0.002 and P=0.02, respectively). In addition, 55 percent of the patients assigned to receive 5 mg of infliximab per kilogram and 38 percent of those assigned to 10 mg per kilogram had closure of all fistulas, as compared with 13 percent of the patients assigned to placebo (P=0.001 and P=0.04, respectively). The median length of time during which the fistulas remained closed was three months. More than 60 percent of patients in all the groups had adverse events. For patients treated with infliximab, the most common were headache, abscess, upper respiratory tract infection, and fatigue. CONCLUSIONS: Infliximab is an efficacious treatment for fistulas in patients with Crohn's disease.  (+info)

Thyroglossal duct cysts: sonographic appearances in adults. (3/133)

BACKGROUND AND PURPOSE: Previous reports have suggested that thyroglossal duct cysts (TDCs) appear on sonograms as well-defined cystic masses with thin walls and posterior enhancement. In our experience, however, TDCs have a variable sonographic appearance. We report our findings in 40 patients with TDCs and document the variability of sonographic patterns. METHODS: All patients in whom the diagnosis of TDC was made clinically (by at least two head and neck surgeons) and sonography detected a cystic mass related to the hyoid bone were included in this study. Sonograms of 40 patients with TDCs were reviewed. The features evaluated were the location, internal echogenicity, posterior enhancement, presence of septa, solid component, and fistulous tract. The echo pattern was not compared with the biopsy results. RESULTS: Four patterns of TDCs were identified: anechoic (28%), homogeneously hypoechoic with internal debris (18%), pseudosolid (28%), and heterogeneous (28%). The majority showed posterior enhancement (88%), were midline (63%), and infrahyoid in location (83%). Only half of all TDCs showed a typical thin wall. CONCLUSION: On sonograms, TDCs in adults are not simple cysts, as previously suggested, but have a complex pattern ranging from a typical anechoic to a pseudosolid appearance.  (+info)

Hydrogen peroxide enhanced ultrasound- fistulography in the assessment of enterocutaneous fistulas complicating Crohn's disease. (4/133)

BACKGROUND/AIMS: Proper management of enterocutaneous fistulas complicating Crohn's disease largely depends on the anatomical characteristics of the sinus tracks as well as the coexistence of complications such as abscesses and distal bowel stenosis. The aim of this prospective study was to evaluate the accuracy of a new technique (hydrogen peroxide enhanced ultrasound (US)-fistulography) compared with conventional x ray fistulogram and/or surgical findings in the detection of Crohn's disease associated enterocutaneous fistulas. METHODS: Patients with known Crohn's disease and a suspicion of enterocutaneous fistulas were prospectively studied with this novel technique, conventional x ray fistulogram, and barium radiography as well as with computed tomography whenever an abdominal abscess was suspected at US. In those undergoing surgery, intraoperative findings were also compared. RESULTS: Seventeen of 502 (3.4%) consecutive patients with Crohn's disease seen over a ten month period had associated enterocutaneous fistulas and were enrolled. Hydrogen peroxide enhanced US-fistulography visualised the extent and configuration of fistula in all cases: 13 patients had a fistula arising from the ileum and two from the sigmoid colon, whereas in two there was no evidence of communication with intestinal loops; in contrast, conventional x ray fistulography missed a correct definition of the fistulous branches or communication with intestinal loops in 50% (4/8) and 36% (4/11) of patients respectively; barium radiography showed fistulas in two cases only. The presence of abscesses along or close to the sinus track, as well as the coexistence of intestinal stenosis, was correctly detected at US in all patients. CONCLUSIONS: Hydrogen peroxide enhanced US-fistulography could be considered the diagnostic procedure of choice in Crohn's disease associated enterocutaneous fistulas, as it is at least as accurate, simple, and safe as conventional x ray fistulogram, does not miss coexisting abdominal complications, and also provides information on the diseased bowel segments. In addition, it can be easily repeated over time in order to monitor the course of fistulas undergoing conservative treatment.  (+info)

Persistent frontal fistula. (5/133)

The frontal sinus is prone to various complications--usually secondary to blockage of the fronto-nasal duct and stagnation of frontal sinus secretions. These pent-up secretions may result in pressure necrosis of the inferior or posterior sinus wall. Involvement of anterior wall is uncommon. We present a case of an anterior wall frontal sinus fistula and discuss its management.  (+info)

Possibilities of preventing osteoradionecrosis during complex therapy of tumors of the oral cavity. (6/133)

In recent years, there has been a dramatic increase in the number of tumors of the head and neck. Their successful treatment is one of the greatest challenges for physicians dealing with oncotherapy. An organic part of the complex therapy is preoperative or postoperative irradiation. Application of this is accompanied by a lower risk of recurrences, and by a higher proportion of cured patients. Unfortunately, irradiation also has a disadvantage: the development of osteoradionecrosis, a special form of osteomyelitis, in some patients (mainly in those cases where irradiation occurs after bone resection or after partial removal of the periosteum). Once the clinical picture of this irradiation complication has developed, its treatment is very difficult. A significant result or complete freedom from complaints can be attained only rarely. Attention must therefore be focussed primarily on prevention, and the oral surgeon, the oncoradiologist and the patient too can all do much to help prevent the occurrence of osteoradionecrosis. Through coupling of an up-to-date, functional surgical attitude with knowledge relating to modern radiology and radiation physics, the way may be opened to forestall this complication that is so difficult to cure.  (+info)

Neck infection associated with pyriform sinus fistula: imaging findings. (7/133)

BACKGROUND AND PURPOSE: Acute suppurative neck infections associated with branchial fistulas are frequently recurrent. In this study, we describe the imaging findings of acute suppurative infection of the neck caused by a third or fourth branchial fistula (pyriform sinus fistula). METHODS: Imaging findings were reviewed in 17 patients (11 female and six male patients, 2 to 49 years old) with neck infection associated with pyriform sinus fistula. Surgery or laryngoscopic examination confirmed the diagnoses. Fourteen patients had a history of recurrent neck infection and seven had cutaneous openings on the anterior portion of the neck (all lesions were on the left side). Imaging studies included barium esophagography (n = 16), CT (n = 14), MR imaging (n = 2), and sonography (n = 3). RESULTS: A sinus or fistulous tract was identified in eight of 16 patients on barium esophagograms. In 14 patients, CT studies showed the inflammatory infiltration and/or abscess formation along the course of the sinus or fistulous tract from the pyriform fossa to the thyroid gland. In nine patients, CT scans showed the entire course or a part of the sinus or fistulous tract as a tiny spot containing air. MR images showed a sinus or fistulous tract in two patients, whereas sonograms could not depict a sinus or fistulous tract in three patients. All 17 patients were treated with antibiotics. In one patient, the sinus tract was surgically excised, while 15 patients underwent chemocauterization of the sinus or fistulous tract with good outcome. Follow-up was possible for 16 of the 17 patients. CONCLUSION: When an inflammatory infiltration or abscess is present between the pyriform fossa and the thyroid bed in the lower left part of the neck, an infected third or fourth branchial fistula should be strongly suspected.  (+info)

Lymphocutaneous fistula as a long-term complication of multiple central venous catheter placement. (8/133)

We report a case of a lymphocutaneous fistula in a 19-month-old boy who had been a premature neonate, born in the 23rd week of gestation. The fistula, an apparent complication of central venous line placement during the patient's first 5 months of life, was composed of a distinct lymphatic vessel bundle in the right supraclavicular region, with its exit point at the posterior aspect of the right shoulder. The drainage ceased immediately after resection and repair of a 1-cm obstruction in the superior vena cava.  (+info)

TY - JOUR. T1 - Clinical experience with silicon pharyngeal tube for pharyngocutaneous fistula and cervical esophagus stenosis. AU - Tomifuji, Masayuki. AU - Shiotani, Akihiro. AU - Takaoka, Takuji. AU - Mori, Yuko. AU - Fujimine, Takekatsu. AU - Ogawa, Kaoru. PY - 2006/6. Y1 - 2006/6. N2 - Total laryngectomy or laryngopharyngectomy are commonly performed for the treatment of laryngeal cancer or hypopharyngeal cancer. However pharyngocutaneous fistula and cervical esophageal stenosis have been reported as postoperative complications of these procedures. We used a silicon pharyngeal tube in cases that developed pharyngocutaneous fistula and cervical esophageal stenosis. The pharyngeal tube was useful for controlling aspiration pneumonia and for starting oral feeding in a case of pharyngocutaneous fistula after a total laryngectomy. It was also helpful for starting oral feeding in a case with cervical esophageal stenosis after total laryngopharyngectomy and free jejunum interposition. This patient ...
We report an extremely rare case of a migratory fish bone penetrating through the thyroid gland. A 56-year-old Japanese woman presented with a two-month history of a painless cutaneous fistula in her anterior neck with pus discharge. Endoscopic examinations showed no abnormality, but computed tomography revealed a bone-density needle-shaped foreign body sticking out anteroinferior from the esophagus wall, penetrating through her left thyroid lobe and extending nearly to the anterior cervical skin. A migratory fish bone was suspected, and the foreign body was removed under general anesthetic, combined with a hemithyroidectomy. The injured esophageal mucosa was sutured and closed. Our patients postoperative course was uneventful, and she was allowed oral food intake seven days after the surgery. No evidence of recurrence was seen over the postoperative follow-up period of 42 weeks. We should be aware that fish bone foreign bodies may migrate out of the upper digestive tract and lodge in the thyroid gland
A fistula is an abnormal pathway between 2 anatomic spaces or a pathway that leads from an internal cavity or organ to the surface of the body. A sinus tract is an abnormal channel that originates or ends in one opening.
Mr. FB is 65 year old male who presented with drainage from his anterior abdominal wall midline incision. Also has stool in his urine. Once CT scan was performed, this showed a colocutaneous fistula from the colorectal anastamosis out through the anterior abdominal wall incision. There was also a colocutaneous fistula into the dome of the urinary bladder indicating a colovesical fistula ...
The sudden appearance of intestinal contents draining from an abdominal incision is an emotionally devastating experience for both patients and surgeons. An enterocutaneous fistulas (ECF) is an abnormal communication between the bowel lumen and skin, often associated with fluid and electrolyte abnormalities, malnutrition, and sepsis. It is reported that spontaneous fistula closure rates vary from 15% to 71% after conservative treatment with wound care, control of infection, and nutritional support. Sufficient time should be allotted for the ECF to heal with conservative treatment, which also results in long-term discomfort.. Adjuvant use of fibrin glue (FG) in the fistula tract may promote healing in low-output ECF. Containing high concentrations of human fibrinogen and thrombin, FG have been used extensively in many surgical fields as a biological adhesive system for tissue adhesion or hemostasis. Different types of FG are now employed: commercially produced and homemade autologous adhesives. ...
In small low anal fistulas, first excise the fistula tract followed by application of Kshara and wait for 2 minutes. Later neutralize with Lemon juice and pack with Yastimadhu Taila. It is helpful for quick healing and avoids recurrence of fistula tract.. In high level fistulas, excision of fistulous tract was done partially followed by application of Kshara. Later Kshara Sutra is applied in remaining fistulous tract at anal sphincteric area. The excised fistulous tract heals completely with help of Kshara and remaining fistulous tract was cut by Kshara Sutra ligation. So that patient can be cured at less time and pain.. In this technique, after excision of fistulous tract and applying Kshara, leads to debridement of the fibrous tissue and at the same time remaining wound will be healed by its Scraping and Healing property of Kshara. In the mean time the Kshara sutra ligation at sphincteric area of fistulous tract leads to cutting and debridement and drainage of fistulous tract at the same time ...
Fistula Management Solutions: Advanced Treatments for a Severe Complication. As clinicians, its important to stay current on wound care concepts and technologies. Wound management education is becoming increasingly important. For this reason, Acelity cordially invites you to explore new fistula management technologies that may assist todays wound care professionals in the management of complex wounds in the acute or post-acute setting.. Join us as a group of expert presenters share their clinical experiences with several novel fistula isolation devices and techniques that may potentially extend dressing change intervals as well as facilitate wound healing for patients.. NOTE: Specific indications, contraindications, warnings, precautions and safety information may exist for Systagenix and KCI (Acelity companies) products. Please consult a healthcare provider and product instructions for use prior to application. Rx only.. ...
Utility of Removable Esophageal Covered Self-Expanding Metal Stents for Leak and Fistula Management. Annals of Thoracic Surgery. 2010 ...
PROCEDURE: A PARQ conference was held and written consent to proceed was obtained. The skin overlying the left lower abdomen was prepped in a sterile fashion. Subcutaneous lidocaine was injected for local anesthesia. A 5-French Kumpe catheter was advanced into a enterocutaneous fistula and contrast dye was injected to opacify the fistula tract. A wire was then passed into the jejunum through the tract. The tract was then sequentially dilated. A 22-French sheath was advanced over the wire and positioned in the jejunum. A 7-mm Cook enterocutaneous fistula plug was then deployed within the enterocutaneous fistula tract under fluoroscopy. 1 g Ancef was flushed into the sheath. The sheath was removed. The device was then sutured to the skin using resorbable Vicryl suture. The device was trimmed and a Molnar disk was attached ...
Objective: Post operative enterocutaneous fistula, in this environment, continues to excite interest because it runs a distressing course, and it is often associated with high mortality and morbidity. Determining the classification type best suited to suggest the outcome would be helpful in guiding the management of the condition. Setting: Ife Hospital Unit, Obafemi Awolowo Teaching Hospitals Complex, Ile - Ife. Outcome Measure: To determine the clinical pattern of post operative external enterocutaneous fistula and the classification method that best predict outcome of the condition. Methodology: Consecutive patients with clinical postoperative external enterocutaneous fistula seen between 1994 and 2006 were studied. The case files were retrieved and information on demographic data, type of initial surgery, source of referral, and characteristic of the fistula in terms of effluent per day and type of intestine involved were retrieved and analyzed. Patient with incomplete clinical information ...
Introduction Enterocutaneous fistulas, defined as an abnormal communication between the small bowel and skin, are among the most daunting problems for an intestinal surgeon. The impact of an enterocutaneous fistula on a patient varies from a minor inconvenience to fatal malnutrition and dehydration. Depending on the cause and output of the fistula and the comorbidity…
Enterocutaneous fistula following mesh repair of incisional hernia is usually due to mesh erosion of the underlying viscus and presents late. We describe an early enterocutaneous fistula due to an unusual but a potential mode of bowel injury during mesh fixation. This case is reported to emphasize the need for greater attention to the technique of mesh fixation. We suggest laparoscopic guidance to prevent this serious complication in lateral Incisional hernias with ill defined edges of the defect.
Enterocutaneous fistulas (ECF) are abnormal communications between the gastrointestinal tract and the skin. Although rare, they are associated with considerable morbidity and mortality. Death related to ECF remains disproportionately high when compared with other surgical conditions. Mortality rates for ECF vary from 6 - 33% [1-5].. The incidence and aetiology of fistula are highly dependent on the surgical experience and case load at particular institutions and on patient and disease related cofactors. Much of the published data relate to experience at specialised centres treating complex cases in particularly unstable patients[6]. St. Marks Hospital is a national and international referral centre for intestinal and colorectal disorders. It is one of two national intestinal failure centres in England. The Intestinal Failure Unit has a long standing interest in inflammatory bowel disease (IBD), and this is reflected in the high prevalence of IBD patients treated. A recently completed audit has ...
The outcome among 39 patients with enterocutaneous fistulae complicating Crohns disease has been reviewed. The patients were considered in two groups: (1) no disease - all were early postoperative fistulae (n = 9); (2) active disease (i) without abscess formation (n = 16), (ii) with abscess formation (n = 14). Postoperative fistulae with no evidence of active Crohns disease healed spontaneously. Fistulae in the presence of active disease did not heal even with prolonged medical management. The only effective treatment was excision of the diseased segment from which the fistulae arose and any distal obstruction. None of the fistulae closed surgically has recurred.. ...
Methods Our study collected information from 177 consecutive patients managed with enterocutaneous fistulae over 8 years (January 2003-June 2010). Statistical analysis was undertaken using Stata software programme.. Fistulae healing were measured on a binary scale. As a result of the binary nature of the outcome, all analysis was performed using logistic regression.. Univariate analysis was performed on variables: age, co-morbidity, body mass index, source of referral, time to referral, aetiology, fistulae origin, fistulae complexity, fistulae output, presence of laparostomy, albumin on presentation, number of previous operations, time of surgery, bowel defunctioning. Odds ratio was used to reflect odds of fistulae healing in each category relative to a baseline.. Multivariate analysis of the explanatory variables upon the outcomes was examined. The results were used to generate a scoring system for predicting fistulae healing. The scoring system was evaluated by comparing the predicted healing ...
Salvage surgery of the neck and upper aerodigestive tract in the era of chemoradiation is unfortunately associated with a greater incidence of major postoperative complications compared to primary surgery, with an increase in morbidity, mortality, duration of hospitalization and related costs [4-8]. In a recent article, in 24 patients previously treated with chemoradiation and subjected to total laryngectomy combined with total or partial pharyngectomy, Sewnaik et al. [3] reported a postoperative complication rate of 92%. Among early complications (within 3 months of operation), the most common were pharyngocutaneous fistula (50%), wound dehiscence (29%) and postoperative hemorrhage (21%), while among late complications dysphagia (25%) and stenosis of the tracheostoma were most frequent (21%).. In the literature, the reported rate of pharyngocutaneous fistula following total laryngectomy is around 16% after primary surgery [9], which increases to 19-50% after salvage laryngectomy [3, 10, 11]. ...
Objective. Pharyngocutaneous fistula is considered one of the major complications in the post-operative period after total laryngectomy/pharyngolaryngectomy, leading to a severe adverse impact for the patient and society. This study aimed to identify all the described pharyngocu-taneous fistula predictive factors and risk classifications.. Methods. Research was conducted to identify all the studies assessing predictive factors and risk classification for pharyngocutaneous fistula development published until April of 2012 (n=846). The included studies were analyzed and data regarding their identification, methodological quality and results were recorded.. Results. A total of 39 studies were included. The variables consistently reported as associated with fistula development were nutritional deficiency, American Society of Anesthesiologists (ASA) classification, high consumption of alcohol, anemia and hypoalbuminemia, co-morbidities, advanced N stage, location and extent of primary tumor, ...
During the last 12 years 400 renal allograft biopsies have been performed at this institution to facilitate the differential diagnosis of post-transplant renal dysfunction. Of these cases significant urological complications occurred in 3. In 1 patient a caliceal cutaneous fistula developed after an open surgical biopsy, which required nephrostomy drainage for 6 months. The other 2 patients had needle biopsies and, subsequently, anuria occurred from ureteral blood clots. The problem resolved spontaneously after 23 hours in 1 patient and after 30 hours in the other. The complications in these 3 patients are believed to have resulted from a deeper biopsy and consequent damage to the medullary vasculature and the pelviocaliceal collecting system. Because of these and other potential problems, renal transplant biopsies should be performed by experienced staff, after careful consideration of the risk/benefit ratio at each individual setting.
Int J Pediatr Otorhinolaryngol. 2018 Jan;104:14-18. doi: 10.1016/j.ijporl.2017.10.035. Epub 2017 Oct 29. Li W1, Xu H1, Zhao L1, Li X2. Abstract BACKGROUND: Branchial anomalies (BAs) account for 20% of all congenital masses in children. We sought to review the incidence of involvement of individual anomalies, diagnostic methods, surgical treatment, and complications of BAs in children. In addition, we also classified our study and analyzed a congenital lower neck cutaneous fistula near the sternoclavicular joint that was thought to be the skin-side remnant of the fourth BAs. METHODS: We conducted a retrospective analysis of 105 children who were referred to our hospital from June 2009 to December 2016 for the treatment of BAs. RESULTS: In this series, there were 51 males and 54 females. The age at the time of operation varied from 19 days to 13 years, and the mean age was 4.5 years. A total of 33 (31.4%) cases presented with first BAs, 13 (12.4%) presented with second BAs, and 59 (56.2%) ...
A strategy of drainage of acute sepsis, maintenance of nutritional support prior to surgery, and selective use of PS allows for primary closure in 80% of complicated ECF. Resection should be performed when feasible.
Case Reports in Surgery is a peer-reviewed, Open Access journal that publishes case reports related to all aspects of surgery. Topics include but are not limited to oncology, trauma, gastrointestinal, vascular, and transplantation surgery.
Médecins Sans Frontières, member of the Campaign to End Fistula, set up the Gitega Fistula Centre within the Regional Hospital of Gitega, Burundi, in 2009 to provide high quality, multi-disciplinary care, free of charge, all year round. This report aims to reflect on the experience of setting-up, running and handing over such a fistula project.. ...
International Scholarly Research Notices is a peer-reviewed, Open Access journal covering a wide range of subjects in science, technology, and medicine. The journals Editorial Board as well as its Table of Contents are divided into 108 subject areas that are covered within the journals scope.
Does using vascularized tissue from outside the radiation field reduce the risk of pharyngocutaneous fistula (PCF) following salvage total laryngectomies (STL)?. ...
A case of Crohns disease was complicated by enterovenous fistulization (ileum to superior mesenteric vein) with septic manifestations. The fistulization was di
Instructed patient Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition. Adequate protein and calories must be provided
Sinusitis Weliplex Tropfen, What is a Sinus Tract?,Sinus tract is an asymmetrical type of passageway that leads from within the bones to the surface of the skin
hey wouls anyone know how to code this: pt had subsequent fistulization between the prostate and urethra with subsequent Fournier and fistula to his g
I am a 27 years old woman who had weight loss surgery done 4 months back. After 2 days, one of the staples came off and I had peritonitis. I am tube fed and have an appratus that collects whatever my stomach drains, which is mostly saliva. Even though I am draining less now, the perforation doesnt seem to close even after 4 months. When I left the hospital I was draining 180 ml per day, which came down to 13 ml/day, but now it has increased to 50-60 ml/day again. I am taking Ensure and Isopure and the nutrients in these two are supposed to help the perforation close. Two days back, I had blood work done and everything was fine, except my albumin levels were low. |b|Is it essential that my albumin should be high in order to get the perforation closed?|/b|
Because I have now been pencilled in for my surgery date I thought I would explain what it is I actually have, and what they are going to do about it. I have mentioned that I have this complication but never went into real depth. At the end there is a youtube video of the same surgery i will be having, so if you are not too grossed out, take a look.. After having the proctectomy I stupidly thought that would be it for surgery and I could then get on with my life. I had been sewn shut ,so what could possibly go wrong ? Well there were plenty of things as it turns out. I noticed after about a month that there was fluid coming out from that area on to my underwear. It was watery and yellowish. I went to my GP who took a swab and it was an infection that needed antibiotics. I went on those for a few weeks but it didnt really do anything.. Off I went to see my surgeon when I could get in ( which wasnt very quickly). This had started in about December 2016, and I think it was roughly February at ...
Children aged 3-12 months: Minor procedures such as needle suture / insertion and surgery on local wounds. (The total amount should not exceed 2 g and the treated skin area should not be 2 more than 16 cm ...
Children aged 3-12 months: Minor procedures such as needle suture / insertion and surgery on local wounds. (The total amount should not exceed 2 g and the treated skin area should not be 2 more than 16 cm ...
This lesion looked weird from the start. I packed Ca(OH)2 for some time, and the sinus tract decreased in size, but never went away completely.
The current research aims to evaluate the risk factors of urethrocutaneous fistula after hypospadias surgery among the youth in China. One hundred twenty hypospadias patients were enrolled in our study. All of them were defined as Tanner 4 or 5. The information collected from the participants include age, urethral operation history, urinary comorbidities before operation, urine test before operation, body temperature before and after operation, type of surgical repair, chordee degree, urethral defect length and whether received vesicostomy after surgery or not. Independent t test, chi-square test and multivariate logistic regression were performed to evaluate the risk factor of urethrocutaneous fistula. Among the enrolled patients, 39 patients (32.5%) developed urethrocutaneous fistula after hypospadias repair. Our result showed significant association between the group with urethrocutaneous fistula and the group without urethrocutaneous fistula with respect to age, pyuria before operation, urethral
Brenner et al identified risk factors for recurrence of an enterocutaneous fistula (ECF) following surgical repair. Recurrence of a fistula is the primary determinant of mortality for patients with an ECF. The authors are from the University of California at Los Angeles.
Calcutta Cosmo Aid Clinic is the best center in Kolkata for hypospadias surgery. CALCUTTA COSMO AID (CLINIC) Plastic Surgery & Pediatric surgery Centre located at the heart of Kolkata, west Bengal, India. Dr. Nagwani is a Best Surgeon for hypospadias repair in Kolkata. It is one of the premier locations for cosmetic and pediatric surgery in Kolkata. Best Surgeon for hypospadias repair in Kolkata | Hypospadias repair - West Bengal - Health services, beauty services, West Bengal - 2575251
Basically, the management of this disgusting malady, described by Guillaume Dupuytren as an accidental anus, consists of trying to decreasing its output and waiting until the inevitable septic abdominal disaster settles down enough to do something surgically definitive. While waiting, one deals with abdominal collections, poor nutrition, eroding skin, angry relatives, and all manner of fluid/electrolyte bewilderment.
The VAC system has been used for chronic non-healing wounds (pressure ulcers, venous and arterial ulcers, diabetic ulcers), subacute non-healing wounds (dehisced incisions), acute and trauma wounds, meshed grafts and flaps, graft and donor flap sites, and other wounds such as burns, snake bite, spider bite, frost bite.7. The VAC system is thought to work by several different mechanisms. Active removal of excess interstitial fluids from tissues may decompress small blood vessels allowing incremental increases of blood flow and therefore improve supply of oxygen and nutrients for tissue repair. The increased blood flow speeds up granulation tissue formation by 63% over non-VAC treated wounds.5 Mechanical stress may also play a part by switching on a mechanism which increases cellular proliferation and angiogenesis similar to the Ilizarov technique.5 The VAC also leads to reduced bacterial colonisation by anaerobic organisms through increasing tissue oxygen concentrations. Neutrophils use the ...
Since there is no standardized oral intake protocol for patients with major cut throat injuries, we had to adapt from our experiences with laryngectomy patients. The usual protocol at Tata Medical Center for laryngectomy patients is, to start with spoonfuls of water as oral sips around the seventh day. If there is no aspiration and the patient is comfortable, oral intake is increased gradually. Barium swallows are not regularly done in all post-laryngectomy patients; instead, they are limited to only a few selected cases. The traditional method of carrying out a barium swallow before oral feeding has been challenged by several reports, White et al. [7], in a study of 259 laryngectomy patients, demonstrated a sensitivity of 26% and a specificity of 94% for barium swallows to predict pharyngocutaneous fistulas. Seven et al. [8] conducted a randomized controlled trial and concluded that early oral feeding on the first postoperative day is a safe practice with no relationship to fistula formation. ...
and Bianchis treatment [3]. eating) and omnivorous (eat flesh and vegetable). The herbivorous contains the longest little colon the carnivorous the shortest and omnivorous stay in the middle. Lack of an integral part of little colon R406 in human being makes the colon equal to carnivorous where carnivorous diet plan (tiger meals) is suitable is the book considering. Case 1 A 49-year-old man underwent colon resection in three phases because of mesenteric vascular occlusion abandoning around 15 cm of proximal jejunum and 5-7 cm of terminal ileum with undamaged ileo-caecal valve and entire colon [Desk/Fig-1]. He previously an anastomotic drip that he required TPN for 6 weeks. After closure from the enterocutaneous fistula he was presented with dental low residual diet plan. But he created diarrhoea that he was supplemented intermittent intravenous liquid. PPI and isabgole husk was added for reduced amount of gastric bile and acidity diarrhoea respectively. His weight decreased to 48 Kg from 88 Kg ...
TY - JOUR. T1 - Outcome of colonic fistula surgery in the modern surgical era. AU - Tam, M. S.. AU - Abbass, M.. AU - Tsay, A. T.. AU - Abbas, M. A.. N1 - Copyright: Copyright 2014 Elsevier B.V., All rights reserved.. PY - 2014/5. Y1 - 2014/5. N2 - Background: Various conditions lead to the development of colonic fistulas. Contemporary surgical data is scarce and it is unclear whether advances in surgical care have impacted outcome. The aim of the present study was to review the short- and long-term outcome of patients treated surgically for colonic fistula over an 8-year period at a tertiary institution. Methods: A retrospective review was performed, focusing on the type of operative interventions, short- and long-term complications, length of hospital stay, readmission rate, mortality rate, and fistula recurrence. Results: Forty-five patients were treated for colonic fistula. The most common etiology was diverticulitis (74 %). Fistula type was colovesical (58 %), colocutaneous (18 %) and ...
FOR DOCTORS - PART IV Grade II or Distal Hypospadias: The Slit-like adjusted Mathieu (SLAM) Technique The meatal-based flap technique of Mathieu is the most popular technique for distal hypospadias repair and has withstood the test of time. However, the major drawback of the original Mathieu technique is the final appearance of the meatus (a smiling meatus that is not very terminal). The Slit-like adjusted Mathieu (SLAM) helps to employ the Mathieu operation in all forms of distal hypospadias and gives a terminal, slit like meatus. This will include about 70 to 80 % of patients with hypospadias. The only contraindication is the presence of severe chordee distal to the hypospadiac meatus (very rare in distal hypospadias). Operative steps: The boundaries of the urethral plate are outlined. A U-shaped incision is outlined. The two parallel incisions at the glans region start along the true mucosal urethral plate to have large, wide glanular wings. At the distal end, the two incision converge as ...
Blood flow between the aorta and atrium is a rare but complex pathological condition, also known as aorto-atrial fistula (AAF). The exact incidence of this condition is unknown, as are the major precipitating factors and best treatment options. We carried out a systematic review of the available case report literature reporting AAF. We systematically reviewed literature on AAF formation and closure. Separate Medline (PubMed), EMBASE, and Cochrane database queries were performed. The following MESH headings were used: atrium, ventricle, fistula, cardiac, shunts, aortic, aorto-atrial tunnels and coronary cameral fistula. All papers were considered for analysis irrespective of their quality, or the journal in which they were published. Fistula formation from the ascending aorta to the atria occurred more often in the right atrium compared to the left. Endocarditis was the major cause of AAF formation, whilst congenital causes were responsible for nearly 12%. In a number of cases fistula formation ...
Diagnostic Accuracy of Abdominal wall Ultrasonography and Local Wound Exploration in Predicting the Need for Laparotomy following Stab Wound
Complications in hypospadias surgery are higher than other reconstructive procedures. The incidence of complications can be reduced if proper preventive measures are taken. The review aims to highlight incidences, causes, and preventive measures of a
There are many terms which are often confused due to some common name associated with them. A lot of us would assume when asked What is a sinus tract? is something related to our sinuses or sinus infection. But the fact is that it is not so. The sinus tract is an abnormal channel which opens in any structure of the skin in any part of your body and ends in bone marrows. This is a channel or a passageway which is often called fistula. This makes a kind of passage between the skin opening and bones.. Thus is laymans language what is a sinus tract is understood as a passage or an abnormal channel from skin of any part to the underlying bones. What cause sinus tract? This abnormal opening is a result of an infection or some other rare occurrences like fistulous rheumatism or due to a synovial joint in rheumatoid arthritis or classic fistulous rheumatism.. What is a sinus tract in septic arthritis? In septic arthritis there occurs some abnormalities where there are some fluid filled channels that ...
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According to Medline Plus, hypospadias surgery is a surgery that is done to correct the defect of the opening of the penis. […]. Read more ...
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A pancreatic fistula is an abnormal communication between the pancreas and other organs due to leakage of pancreatic secretions from damaged pancreatic ducts. An external pancreatic fistula is one that communicates with the skin, and is also known as a pancreaticocutaneous fistula, whereas an internal pancreatic fistula communicates with other internal organs or spaces. Pancreatic fistulas can be caused by pancreatic disease, trauma, or surgery. An external pancreatic fistula is an abnormal communication between the pancreas (actually pancreatic duct) and the exterior of the body via the abdominal wall. Loss of bicarbonate-rich pancreatic fluid via a pancreatic fistula can result in a hyperchloraemic or normal anion gap metabolic acidosis. Loss of a small volume of fluid will not cause a problem but an acidosis is common if the volume of pancreatic fluid lost from the body is large. First described by Smith (1953), and elaborated upon by Cameron et al. (1976), internal pancreatic fistulas can ...
Introduction: One of the most common complications following total laryngectomy is pharyngocutaneous fistula (PCF). Various methods have been proposed to treat this disorder in recent studies, including a range of simple and conservative treatments to more aggressive therapies, such as various surgical procedures. One of the most innovative and least developed methods is the use of plasma-rich compounds, such as fibrin glue. Case Report: The patient was a 55-year-old woman with a transglottic squamous cell carcinoma of the T3N0M0 stage and PCF development following total laryngectomy surgery with total thyroidectomy and bilateral elective cervical lymph node dissection level I-IV. In spite of conservative treatment, the fistula was not recovered after 3 weeks. It was decided to perform fibrin glue injection into the fistula tract via the endoscopic approach. One month after the fibrin glue injection, no evidence of contrast extravasation was observed on barium swallow test, and the fistula was
Keyword(s): 5 mm port, abdominal cavity, abdominal pain, abdominal wall, ABX, anastomosis, ascending colon, bladder, bleeding, case study, CD, cecal polypoid mass, colenteric fistula, colocolonic fistula, colonoscopy, colovaginal fistula, colovesical fistula, contamination, CR potpourri, Crohns disease, CT, cystogram, descending colon, diarrhea, diverticular disease, diverticulitis, drainage catheter, enterocutaneous fistula, fallopian tube, female, fistula tract, Foley catheter, hematuria, hemostasis, hepatic flexure, HPI, hydrosalpinx, ileocolic resection, imaging, inflammation, interloop abscess, IR, ISLCRS, lap management, leak, lymphoid follicles, male, medical management, mesentery, mesorectum, methylene blue, MR, multi loculated abscess, obstructive symptoms, ovary, pathonomonic, PE, pelvic abscess, pelvis, perc drain, perirectal abscess, perisigmoid abscess, phlegmon, pneumaturia, posterior rectus fascia, Prednisone, pt safety, pus, rectum, rectus sheath, retractor, RLQ, saline, SB, ...
First branchial cleft anomalies are uncommon and comprise 1%-8% of all branchial cleft anomalies.1 They often present in the first two decades of life and present a clinical challenge as they can easily be misdiagnosed and thus inappropriately treated. They are thought to arise as a result of developmental abnormalities of the branchial apparatus and may take the form of a cyst, sinus, or fistula.2. Clinically they may present with repeated episodes of infection of the lesion. This may manifest itself with a cystic swelling or discharge from a fistulous opening either pre-auricularly or post-auricularly, in the cheek, or high in the neck. A thorough otological examination should be performed in all cases and may reveal a pit visible in the external canal at the site of entrance of a sinus or fistula. Such a lesion may result in otorrhoea or otitis externa with infective exacerbations. The meatus may be found to be partially or completely obstructed by bulging of the canal wall because of a ...
List of Abbreviations CAN Colitis-associated neoplasia CD Crohns disease CI Confidence interval CMV Cytomegalovirus CRE Controlled radial expansion CT Computed tomography EBD Endoscopic balloon dilation ECF Enterocutaneous fistula EEF Enteroenteric fistula ELS Electrolyte solution EMR Endoscopic mucosal resection ES Endoscopic stricturotomy ESD Endoscopic submucosal dissection ETAS Endoscopy treatment-associated stricture EUA Examination under anesthesia GI Gastrointestinal…
Hypospadias is a defect in the opening of the penis, the urethra ends on the underside of the penis or bottom of the penis, or in the scrotum. Hypospadias is present at birth. Hypospadias repair is done most often between 6 months and 2 years old. The extra tissue of the foreskin may be used to repair the hypospadias during surgery. So the children with hypospadias should not be circumcised at birth. After surgery the penis will look almost or completely normal and function well. However if the hypospadias defect is complicated type, it may be need more operations to repair.. ...
At Children's Hospital of Pittsburgh of UPMC, doctors administer hypospadias repair surgery to fix the location of the opening in the penis. Learn more here.
Parents usually ask the Urologist that their child urinates finely and has bowel movements just fine. So why are we having the surgery done if it doesnt hurt him and he urinates just fine? Simple answer to these parents is Surgery is essential because Hypospadias can cause problems as he gets older. Problems are listed below: 1. Irregular urine stream .He would have to pee sitting down his whole life. 2. His penis would look different than other boys. 3. It could potentially create fertility issues. The opening of the penis is not close to the cervix as a result of which the sperm is not in the right place to cause pregnancy. 4. If the penis has chordee (downward curvature of the penis) it becomes very painful, difficult or even impossible to have intercourse as an adult.. If the hypospadias needs to be repaired, this is done by surgery. The aim is to repair and reconstruct the urethra. Depending on the degree of the hypospadias, the surgery can range from relatively simple to very challenging. ...
Trans-oral endoscopic approach to exposure of a type IV branchial cleft anomaly sinus tract in the left piriform recess and closure using cauterization and tisseel application. Contributors:Yi-Chun Carol Liu
In all, 214 consecutive children with distal hypospadias were identified who had had a GRAP repair, of whom 205 were suitable for further study. The position of the urethral meatus in these children is summarized in Table 1. While some children were admitted before surgery for social reasons, most operations, i.e. in 183 patients (89%), were undertaken as day cases.. Problems immediately after surgery were rare; seven children (3.4%) were admitted overnight with medical problems. Of these boys, two had difficulty in voiding, one of whom required catheter drainage of the bladder. Two patients with uncontrolled pain required analgesia, two had significant nausea and vomiting, and one had a penile haematoma. Fifteen children (7.3%) stayed for one night after repair, with no clearly documented clinical indication.. A fistula occurred in 15 patients (7%); of these, one is known to have healed spontaneously, eight have been corrected surgically on a day-case basis and one fistula was not initially ...
Purpose We describe our experience using a modified suture fistula technique for addressing tension in longer gap esophageal atresia (EA). Esophagoesophagopexy (EEP) is the tacking of the proximal and...
A fistula is an abnormal connection between two organs. Enteric fistulas are abnormal connections between the gastrointestinal tract and other abdominal organs, chest, or skin. Symptoms associated with fistulas depend on whether the fistula is proxim
Tears rolled down after seeing my baby in that position but the Doctor gave courage to handle that situation not only to me but also to my dad. Believe me he didnt gave me so many medicines as I thought. He prescribed pain killers for a week and an antibiotic ointment to apply there. He was genuine Doctor I have ever seen. After required reviews he suggested me to review it for once an year and am following it ...
A fistula is an abnormal communication between two internal organs, or from an organ to the outside of the body. Infection, inflammatory disease (e.g., Crohns disease), tumors, trauma, and surgery may lead to a fistula. The gastrointestinal tract (particularly the duodenum), pancreas, bladder, and female genital tract are particularly susceptible. Among the many places in the body where fistulas can occur are: ...
If your son has hypospadias, our pediatric urologists are experienced with hypospadias repair to restore functioning and appearance.
Pancreatic fistula Pancreatic fistulaClassification & external resources MeSH D010185 A pancreatic fistula is an abnormal communication between the pancreas
Computed tomography-fistulography. Arrow shows contrast medium within the left hip joint (fistula tract) extending to the bladder lumen.
Fistula Foundation has just passed a major milestone: since adopting a global mission in 2009, support from generous donors like you has enabled the delivery of life-changing fistula surgery to 20,000 women!. In this short video, youll see some of the faces of women that you and our partners have helped to treat. Read more about how we reached this goal, and why this number is significant. ...
Selamat siang Dokt, Sy mau tanya, kurang lebih 2 tahun yg lalu sy operasi Fistula Ani, alhamdulillah semua berjalan lancar, tetapi akhir2 ini sekitar bekas operasi
Important note. Whilst the first film in this series is openly available because it only demonstrates basic principles, the subsequent films give specific and detailed surgical guidance. They are not intended, therefore, for general viewing but are being made freely available only to those medical professionals who already have specific experience of the surgery involved and who can thus benefit from the specialist techniques that these films demonstrate.. To view these films please register your name and professional status (you only need to register once and will then have repeated access). * required. ...
Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body ...
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... cutaneous fistula; Method of making mucoperiosteal flap, excision of incisor teeth, window in labial cortex, and removal of ... and abdominal fistula wounds; closure of complete fistula by use of Whitehead principle of advancement of rectum (3 min; color ... Repair of Recto-Urethral Fistula; Case of injury to large and small bowel, bladder, urethra, and rectum caused by bullet wounds ...
The fistula can be excised as a cosmetic operation even though no infection appeared. The procedure is considered an elective ... Branchial cleft cyst Thyroglossal cyst Lachiewicz Sibley syndrome List of cutaneous conditions Freedberg IM, Fitzpatrick TB ( ... Kim JR, Kim DH, Kong SK, Gu PM, Hong TU, Kim BJ, Heo KW (November 2014). "Congenital periauricular fistulas: possible variants ...
Complications include incisional hernia, neobladder-intestinal and neobladder-cutaneous fistulas, ureteroenteric anastomosis ...
List of cutaneous conditions Skin lesion Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume ... Dapsone combined with leg elevation and compression, and erythromycin for HD patients with AV fistulas have also been reported ... Acroangiodermatitis of Mali is a rare cutaneous condition often characterized by purplish-blue to brown papules and plaques on ...
High-output (defined as , 500ml/day) enteric-cutaneous fistulas (unless a feeding tube can be passed distal to the fistula) ... a fistula) or because its absorptive capacity is impaired.[1] It has been used for comatose patients, although enteral feeding ...
His report on two cases of hydatid disease describes one patient discharging hydatid cysts via a chronic cutaneous fistula from ...
... cutaneous fistula MeSH C23.300.575.185 - digestive system fistula MeSH C23.300.575.185.150 - biliary fistula MeSH C23.300. ... oral fistula MeSH C23.300.575.500.275 - dental fistula MeSH C23.300.575.500.550 - oroantral fistula MeSH C23.300.575.500.775 - ... gastric fistula MeSH C23.300.575.185.550 - intestinal fistula MeSH C23.300.575.185.550.600 - rectal fistula MeSH C23.300. ... salivary gland fistula MeSH C23.300.575.687 - respiratory tract fistula MeSH C23.300.575.687.225 - bronchial fistula MeSH ...
Coccidioides Coccidioides immitis Coccidioides posadasii Zygomycosis Medical geology List of cutaneous conditions Thunderhead, ... including severe pneumonia with respiratory failure and bronchopleural fistulas requiring resection, lung nodules, and possible ... which includes primary cutaneous coccidioidomycosis Serious complications may occur in patients who have weakened immune ...
... and oro-cutaneous fistula treated surgically. It is recommended to have a multi-disciplinary approach to care and dental ... Other signs and symptoms include: Pain Swelling Non-healing sore or ulcer in the mouth Trismus An extra-oral fistula (from jaw ... Common signs and symptoms include pain, difficulty chewing, trismus, mouth-to-skin fistulas and non-healing ulcers. The ... closure of orocutaneous fistula and large resections. Surgical management is usually required in cases of advanced disease, or ...
Crohn's disease (CD) of the vulva is a rare extra intestinal condition, with granulomatous cutaneous lesions affecting the ... Dermatologic inflammatory vulvo-vaginal lesions are usually caused by fistulas arising from the anus or rectum. However, not ... all inflammatory lesions within the genitalia are caused in fistulas fashion, even in patients suffering from gastrointestinal ...
It can cause lung abscess, pulmono pleural fistula, empyema lung and broncho pleural fistula. It can also reach the brain ... Acanthamoeba, which causes cutaneous amoebiasis[16] and Acanthamoeba keratitis and sometimes migrates to the brain. ... rectovesicle fistula and rectovaginal fistula. Entamoeba histolytica infection is associated with malnutrition and stunting of ... Cutaneous amoebiasis can also occur in skin around sites of colostomy wound, perianal region, region overlying visceral lesion ...
Cutaneous ciliated cyst Cutaneous columnar cyst Cutaneous horn (Cornu cutaneum) Cystic basal cell carcinoma Dermal eccrine ... congenital auricular fistula, congenital preauricular fistula, preauricular cyst) Rapidly involuting congenital hemangioma ( ... Primary cutaneous immunocytoma Primary cutaneous marginal zone lymphoma Retiform parapsoriasis Secondary cutaneous CD30+ large ... Cutaneous group B streptococcal infection Cutaneous Pasteurella hemolytica infection Cutaneous Streptococcus iniae infection ...
Any part of the tract can persist, causing a sinus, fistula or cyst. Most fistulae are acquired following rupture or incision ... Cutaneous columnar cyst Branchial cleft cyst Cystic hygroma Preauricular sinus and cyst Ranula University of Rochester Medical ... resulting in a draining sinus known as a thyroglossal fistula. Thyroglossal fistula can develop when the removal of the cyst ... Stahl W.M.; Lyall D. (1954). "Cervical cysts and fistulae of thyroglossal Tract Origin". Annals of Surgery. 139 (1): 123-128. ...
Peripheral arteriovenous fistula: abnormal communication between artery and vein that is a direct result of the abnormal ... Klippel-Trenaunay-Weber syndrome List of cutaneous conditions Reference, Genetics Home. "Parkes Weber syndrome". Genetics Home ... Multiple arteriovenous fistulas: PWS patients also suffer from multiple AVFs that occur in conjunction with capillary ... Arteriovenous malformations (AVMs) and arteriovenous fistulas (AVFs) are caused by RASA1 mutations as well. Therefore, if all ...
Any teratoma near the body surface may develop a sinus or a fistula, or even a cluster of these. Such is the case of Canadian ... The long-time held belief was that the inclusion of cutaneous ectodermal cells occurred early in embryonic life, and the ... Dermoid sinus, more commonly known as a pilonidal cyst Proliferating trichilemmal cyst List of cutaneous conditions Freedberg, ... spinal cutaneous inclusion, during needle puncture (e.g. lumbar puncture) or during surgical procedures on closure of a ...
Cutaneous uretero-ileostomy (56.6) Other external urinary diversion (56.61) Formation of other cutaneous ureterostomy ... Closure of other fistula of kidney (55.84) Reduction of torsion of renal pedicle (55.85) Symphysiotomy for horseshoe kidney ( ... Closure of nasal fistula (21.83) Total nasal reconstruction (21.84) Revision rhinoplasty (21.85) Augmentation rhinoplasty ( ... Incision or excision of anal fistula (49.2) Diagnostic procedures on anus and perianal tissue (49.3) Local excision or ...
Inflammation confined to the colon; abdominal pain and bloody diarrhea; anal fistulae and peri-rectal abscesses can also occur ... Elevation of both serum cholesterol and triglycerides; accelerated atherosclerosis, coronary heart disease; cutaneous xanthomas ...
Surgery of the anal fistula to drain an abscess treats the fistula and reduces likelihood of its recurrence and the need for ... Taira, BR; Singer, AJ; Thode HC, Jr; Lee, CC (Mar 2009). "National epidemiology of cutaneous abscesses: 1996 to 2005". The ... Vaska, VL; Nimmo, GR; Jones, M; Grimwood, K; Paterson, DL (Jan 2012). "Increases in Australian cutaneous abscess ... "Incision and drainage of perianal abscess with or without treatment of anal fistula". Reviews. doi:10.1002/14651858.CD006827. ...
1987). Esthiomene resulting from cutaneous tuberculosis of external genitalia. Genitourin Med. 63(2): 133-134. v t e. ... fistulae, ulcerations, and fibrosis of the tissues. The tissues swell, sometimes severely, and the genitalia may grow to a ...
... arterio-arterial fistula MeSH C14.907.933.125 - arteriovenous fistula MeSH C14.907.934.140 - cryoglobulinemia MeSH C14.907. ... allergic cutaneous MeSH C14.907.940.897.249.750 - granulomatosis with polyangiitis MeSH C14.907.952.760 - postphlebitic ... MeSH C14.240.150.125 - arteriovenous fistula MeSH C14.240.150.295 - intracranial arteriovenous malformations MeSH C14.240. ... carotid-cavernous sinus fistula MeSH C14.907.253.123.353 - carotid artery, internal, dissection MeSH C14.907.253.123.360 - ...
Risk factors for developing the disease include Arteriovenous fistula Chronic skin conditions such as psoriasis, athlete's foot ... Another predisposing factor is chronic cutaneous edema, such as can in turn be caused by venous insufficiency or heart failure ...
It can, but does not necessarily, have an opening to the skin surface, called a fistula. The cause is usually a developmental ... Cutaneous columnar cyst Cystic hygroma Gingival cyst Mucocele Ranula Thyroglossal duct cyst Pincus RL (2001). "Congenital neck ... Fistulas, if present, are asymptomatic until infection arises. Branchial cleft cysts are remnants of embryonic development and ... and their location and the location of associated fistulas differs accordingly. Most branchial cleft cysts present in late ...
... fields of Forel filiform papillae filum filum terminale fimbriae finger fingernail first thoracic ganglion fissure fistula ... cuneate cuneate fasciculus cuneate nucleus cuneate tubercle cuneiforms cuneocerebellar fibers cuneus cupula cusp cutaneous cyst ...
Arteriovenous fistula (AVF) : a lesion with a direct communication via fistulae between an artery and a vein.[2] ... an underlying cutaneous condition, pregnancy, hormonal alterations and medications.[11] Pyogenic granulomas can also arise ...
... congenital Pulmonary alveolar proteinosis Pulmonary arterio-veinous fistula Pulmonary artery agenesis Pulmonary artery coming ... 2 Primary ciliary dyskinesia Primary craniosynostosis Primary cutaneous amyloidosis Primary granulocytic sarcoma Primary ... diaphragmatic hernia Pericardium absent mental retardation short stature Pericardium congenital anomaly Perilymphatic fistula ...
Cutaneous anthrax Cutaneous larva migrans Cutaneous lupus erythematosus Cutaneous photosensitivity colitis lethal Cutaneous T- ... Cornelia de Lange syndrome Corneodermatoosseous syndrome Coronal synostosis syndactyly jejunal atresia Coronaro-cardiac fistula ... cutaneous, articular syndrome Chudley-Lowry-Hoar syndrome Chudley-Rozdilsky syndrome Chudley-Mccullough syndrome Churg-Strauss ... cell lymphoma Cutaneous vascularitis Cutis Gyrata syndrome of Beare and Stevenson Cutis gyratum acanthosis nigricans ...
Requena L, Sangueza OP (February 1998). "Cutaneous vascular proliferations. Part III. Malignant neoplasms, other cutaneous ... Significant skin alterations, such as cornification or keratosis, cysts and/or fistulae, are present. Additionally, the patient ... Cutaneous Changes in Peripheral Venous and Lymphatic Insufficiency". In Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell ... Journal of Cutaneous Pathology. 44 (5): 500-503. doi:10.1111/cup.12918. Burnand KM, Glass DM, Mortimer PS, Peters AM (January ...
List of cutaneous conditions El-Naggar, Adel K.; Chan, John K. C.; Grandis, Jennifer R.; Takashi, Takata; Slootweg, Pieter J., ... and tracheoesophagyeal fistulae. Tracheotomies are offered for the most aggressive cases, where multiple debulking surgery ...
A fistula is an abnormal pathway between 2 anatomic spaces or a pathway that leads from an internal cavity or organ to the ... encoded search term (Oral Cutaneous Fistulas) and Oral Cutaneous Fistulas What to Read Next on Medscape ... and developmental lesions cause oral cutaneous fistulas, fistulas of the neck, and intraoral fistulas. ... Miscellaneous orocutaneous fistulas. An oral cutaneous fistula leads to esthetic problems due to the continual leakage of ...
This video shows a small, chronic antral/pre-pyloric gastro-cutaneous fistula that occurred at a former gastrostomy tube site. ...
"Cutaneous Fistula" by people in Harvard Catalyst Profiles by year, and whether "Cutaneous Fistula" was a major or minor topic ... "Cutaneous Fistula" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical Subject ... Urinary-cutaneous Fistulae in Patients With Neurogenic Bladder. Urology. 2015 Dec; 86(6):1222-6. ... Below are the most recent publications written about "Cutaneous Fistula" by people in Profiles. ...
Successful Closure of a Tracheocutaneous Fistula After Prolonged Tracheostomy With Reverse Pectoral Muscle-Cutaneous Flap. ... Successful Closure of a Tracheocutaneous Fistula After Prolonged Tracheostomy With Reverse Pectoral Muscle-Cutaneous Flap. ... Tracheocutaneous fistula (TCF) is one of the most feared complications after prolonged tracheostomy. Problems related to the ... A spontaneous closure of the defect was expected after removal of the tracheal cannula but the fistula persisted, perhaps ...
Introduction: Oro-cutaneous fistulas are a possible complication of oro-facial surgery. If recurrent they are difficult to ... We report the case of two oro-cutaneous fistulas in one patient treated with adipose-derived stem cells leading to closure of ... Oro-cutaneous fistulas are a possible complication of oro-facial surgery, described mainly after facial reconstruction ... This might be due to the fact that oro-cutaneous fistulas as complication of reconstructive facial surgery are not regarded a ...
Aorto-cutaneous fistula: complication of coronary artery bypass graft operation. Yaliniz H., Tokcan A., Ulus T., Poyrazoglu H. ...
To describe our experience of dealing with pharyngocutaneous fistulas (PCF) following total laryngectomy. Design: Retrospective ... Objective: To describe our experience of dealing with pharyngocutaneous fistulas (PCF) following total laryngectomy. Design: ...
The CSF-cutaneous fistula arose from the L5 post-traumatic CSA. Surgery was planned for management of CSF-cutaneous fistula and ... The patient presented with persistent CSF leakage from a cutaneous fistula (CSF-cutaneous fistula) formed in a lumbosacral ... CSA associated with CSF-cutaneous fistula is a very rare disorder. Only surgical treatment for both CSA and CSF-cutaneous ... We successfully treated the CSF-cutaneous fistula with ligation and transection of the dural sac and cauda equina at the L2-L3 ...
A 56-year-old Japanese woman presented with a two-month history of a painless cutaneous fistula in her anterior neck with pus ... Thyroid gland cutaneous fistula secondary to a migratory fish bone: a case report. *Toyoaki Ohbuchi1. , ... Ohbuchi, T., Tabata, T., Nguyen, K. et al. Thyroid gland cutaneous fistula secondary to a migratory fish bone: a case report. J ... A 56-year-old Japanese woman presented with a two-month history of a painless cutaneous fistula in her anterior neck with pus ...
Management of Tuberculous Cutaneous Fistula. Massamba Miabaou Didace , Lenga Loumingou Ida , ... , Peko Jean Félix ...
Spontaneous cholecysto-cutaneous fistula mimicking postoperative scar sinus. Spontaneous cholecysto-cutaneous fistula mimicking ... Even more rare are spontaneous cholecysto-cutaneous fistulae. A case of spontaneous cholecysto-cutaneous fistula presenting ... Adult , Biliary Fistula/diagnosis , Cicatrix , Cutaneous Fistula/diagnosis , Diagnosis, Differential , Female , Gallbladder ... Biliary Fistula / Cicatrix / Cutaneous Fistula / Adult / Diagnosis, Differential / Gallbladder Diseases Type of study: Case ...
Cerebrospinal Fluid Cutaneous Fistula after Uneventful Epidural Analgesia Sze-Ying Thong*, Sin Yee Goh. Cerebrospinous fluid ( ... CSF)-cutaneous fistula is a rare complication of neuraxial blockade. We present a case of a healthy patient who developed ... The patient was managed conservatively and the fistula resolved without further issues. The literature is reviewed for similar ... cerebrospinal fluidcutaneous fistula after an uneventful epidural catheter insertion for perioperative analgesia. ...
Enteric and Cutaneous Appendiceal Fistulae. Arch Surg. 1969;99(5):585-588. doi:10.1001/archsurg.1969.01340170037009 ... In a review of the literature in 1957, Kjellman1 defined an appendiceal fistula as "the primary perforation of the appendix to ... Kjellman noted that only eight cases of fistula between the appendix and intestine had been operated upon to that time and ... The organ most commonly involved by fistula from the appendix is the bladder. Forbes and Rose ...
Peritoneo-cutaneous fistula is usually a rare but known entity. Such a case has not been reported after cesarean sections. A 26 ... The development of delayed peritoneo-cutaneous fistula has been seen as a complication of difficult cholecystectomy. ... A rare case of peritoneo-cutaneous fistula after cesarean section. International Journal of Reproduction, Contraception, ...
Murtaza Pithawala is a board-certified surgeon in Dubai with comprehensive experience in the correction of fistula. ... Free Consultation] For patients seeking Cutaneous Fistula Doctor in Dubai? Dr. ... Cutaneous Fistula Doctor in Dubai, UAE:. Surgery Fissures. For patients seeking Cutaneous Fistula Doctor in Dubai? Dr. Murtaza ... Book your appointment for Cutaneous Fistula Doctor today with Dr Murtaza, one of the best surgeon in Dubai. ...
Gastro-cutaneous Fistula Treated with a Covered Stent. Authors: David Hazzan, MD; Peter Legnani, MD; Edward Chin, MD; Daniel ... Authors: Edward Chin, MD; Daniel Herron, MD, FACS; David Hazzan, MD; Barry Salky, MD, FACS Keyword(s): duodenojejunal fistula, ... Herron, MD, FACS Keyword(s): covered stent, gastr-cutaneous fistula, upper endoscopy ...
Cutaneous Fistula Caused by Postcholecystectomy Residual Litiasis. Fístula cutánea secundaria a litiasis residual ...
Treatment of pancreatic cutaneous fistulas with a somatostatin analog. Am J Surg1988;155:36-42. ... or jejuno-ileal fistulae and EN is provided for fistulae of the oesophagus, distal ileum, and colon. However, if fistula output ... Fazio VW, Coutsoftides T, Steiger E. Factors influencing the outcome of treatment of small bowel cutaneous fistula. World J ... Classification of fistulae by output. Output volume. The most important physiological determinant of a fistula is the daily ...
... cutaneous fistula is a highly effective technique regardless of size and site of the fistula. It is a simple procedure without ... To study the effectiveness of tunica vaginalis flap in repair of post circumcision urethro- cutaneous fistula. Materials and ... All cases had a single fistula and the size was more than 5mm in all cases. Three-layered fistula closure was done in all cases ... Tunica vaginalis flap - is it a better surgical choice for urethro-cutaneous fistula following circumcision? ...
Cutaneous fistula. Senthil Nathan. 24. Post-operative abdominal drain. Senthil Nathan. Part 2: Laparoscopic and Robotic Urology ...
Effect of Cervical Epidural Analgesia on the Occurrence of Pharyngocutaneous Fistula. *Cutaneous Fistula ... pharyngocutaneous fistula following salvage laryngectomy and reconstruction with pectoralis major myocutaneous flap ...
... with an enterocutaneous fistula (ECF) being an abnormal communication between the small or large bowel and the skin. An ECF can ... A fistula is an abnormal communication between 2 epithelialized surfaces, ... Gastrointestinal-cutaneous fistulas. Fischer JE, Jones DB, Pomposelli FB, et al, eds. Mastery of Surgery. 6th ed. Philadelphia ... Fistulas that have a good chance of healing include the following:. * End fistulas (eg, those arising from leakage through a ...
Patient 3 developed a small postauricular wound dehiscence with mastoid-cutaneous fistula requiring closure using local ... Intraoperatively, the fistula tract was excised and closed with a cartilage and perichondrial rotation flap without disruption ...
A discharging reno-cutaneous fistula was the first manifestation of xanthogranulomatous pyelonephritis in a 33 year old man. ... A discharging reno-cutaneous fistula was the first manifestation of xanthogranulomatous pyelonephritis in a 33 year old man. ... oa Reno-cutaneous fistula as a rare complication of xanthogranulomatous pyelonephritis diagnosed by computed tomography and ...
A rare case of peritoneo-cutaneous fistula after laparoscopy converted to open failed cholecystectomy: meticulously managed by ...
... followed respectively by cutaneous fistula (30.88% of the cases) (Figure 1), intra-oral fistula (23.52% of the cases), trismus ... Tooth decay and fistulas were encountered in 75% of the patients. We observed 36 cases of bony sequestration (51.47%) in our ... The most common reason for consultation in our series was cheek swelling (79.41% of the cases) and fistulas. These reasons for ...
Long-Term Complication After Rhinoplasty Using Porous Polyethylene Implant: Cutaneous Fistula of the Forehead. Alonso, Nivaldo ...
... are the prevention and management of skin breakdown and the promotion of healing of an open wound with a draining fistula by ... The basic objectives of skin care management of GI fistulas ... Skin care management of gastrointestinal fistulas Surg Clin ... The basic objectives of skin care management of GI fistulas are the prevention and management of skin breakdown and the ... Skin or wound care management is one component of the overall medical-surgical management of patients with GI fistulas. This ...
Cutaneous Fistula / etiology * Cutaneous Fistula / surgery* * Female * Humans * Intestinal Fistula / etiology * Intestinal ... Clinical outcome and factors predictive of recurrence after enterocutaneous fistula surgery Ann Surg. 2004 Nov;240(5):825-31. ... Forty-four had oversewing or wedge resection of the fistula, and 159 had resection and reanastomosis of the involved small ... Objective: Recent experience with surgery for enterocutaneous fistulae (ECF) at a specialist colorectal unit is reviewed to ...
Palabras clave : Cutaneous fistula; Gastric fistula; Gastroplasty; Obesity, morbid; Endoscopy; Extracellular matrix; ... The time between fistula diagnosis and endoscopic treatment varied from 4 to 25 weeks (median: 7 weeks). RESULTS: Endoscopic ... In almost 30% of the cases the fistula will become chronic. AIM: A novel peroral endoscopic treatment of gastric leaks in Roux- ... Fistula closure was obtained after one, two and three sessions in 6 (30%), 11 (55%) and 3 (15%) patients, respectively. No ...
  • an enterocutaneous fistula (ECF), as the name indicates, is an abnormal communication between the small or large bowel and the skin. (
  • Almost healed wound around an enterocutaneous fistula. (
  • Doctors may also call a gastrointestinal fistula an enterocutaneous fistula or an intestinal fistula. (
  • If surgical repair or spontaneous closure is not an expectation, as in a patient with enterocutaneous fistula secondary to an abdominal tumor and metastatic disease, skin care management without resolution of the problem may continue for some time. (
  • the skin was excoriated as well as at the medial enterocutaneous fistula there was noted to be dense granulation tissue, so a decision was made to resect all the anterior abdominal wall involved with the damaged skin from the enterocutaneous fistulas as well as resect the fistulous tracts of the enterocutaneous fistulas. (
  • A case of Examination showed a healthy looking woman with ruptured retrocaecal appendicitis presenting as an a fistula in the right flank just superior to the iliac enterocutaneous fistula in a Nigerian woman is crest, discharging intestinal contents (Fig 1). (
  • Enterocutaneous fistula following retrocaecal Her packed cell volume was 40% and white cell appendicitis usually involves the caecum or count of 3000/mm3 with normal differentials. (
  • In enterocutaneous fistula cutaneous fistula: A case report. (
  • Oro-cutaneous fistulas are a possible complication of oro-facial surgery. (
  • Oro-cutaneous fistulas are a possible complication of oro-facial surgery, described mainly after facial reconstruction following tumor resection [1] . (
  • Cerebrospinous fluid (CSF)-cutaneous fistula is a rare complication of neuraxial blockade. (
  • The majority of fistulae develop as a complication of abdominal surgery or trauma, Crohn's disease, intra-abdominal abscess, malignant disease, and radiotherapy. (
  • The development of delayed peritoneo-cutaneous fistula has been seen as a complication of difficult cholecystectomy. (
  • An ECF, which is classified as an external fistula (as opposed to an internal fistula, which is an abnormal communication between two hollow viscera), is a complication that is usually seen after surgery on the small or large bowel. (
  • Around 85-90 percent of all gastrointestinal fistulae occur as a complication of surgical procedures. (
  • We present a case where distal segmental ischaemia led to a colocutaneous fistula, a complication not reported so far in the literature. (
  • Biliobronchial fistula (BBF) is a rare complication in the natural history of liver hydatid disease by Echinococcus granulosus . (
  • A spontaneous closure of the defect was expected after removal of the tracheal cannula but the fistula persisted, perhaps because the patient needed ventilation support with continuous positive airway pressure (CPAP) therapy. (
  • Spontaneous cholecysto-cutaneous fistula mimicking postoperative scar sinus. (
  • Although biliary fistulae are common, spontaneous biliary fistulae are very rare. (
  • Even more rare are spontaneous cholecysto-cutaneous fistulae. (
  • A case of spontaneous cholecysto- cutaneous fistula presenting through an abdominal scar mimicking a postoperative scar sinus is presented, the literature is reviewed and the reasons for occurrence of such a fistula are discussed. (
  • Spontaneous Appendicocutaneous Fistula tract into the ascending colon at the tip of the The effect of the fistula on the patient is least shrunken appendix which was adherent to the colon. (
  • A rare case: Spontaneous cutaneous fistula of infected splenic hydatid cyst. (
  • There flowed out some, of spontaneous way, a whitish yellow purulent liquid, through two cutaneous ulcerations of about two centimeters of diameter ( Figure 1 ). (
  • Direct closure of the fistula without a protection flap carries a high possibility of pneumothorax, pneumomediastinum, respiratory compromise, and wound breakdown. (
  • Therefore, the authors decided to perform primary closure of the TCF using a pectoral muscle-cutaneous flap. (
  • We report the case of two oro-cutaneous fistulas in one patient treated with adipose-derived stem cells leading to closure of the fistulas. (
  • Three-layered fistula closure was done in all cases using the tunica vaginalis flap as the second layer for closure. (
  • Fistula closure was obtained after one, two and three sessions in 6 (30%), 11 (55%) and 3 (15%) patients, respectively. (
  • 44640. Closure of intestinal cutaneous fistula? (
  • Compared with the other conditions, fluctuant abscess formation is more likely to result in cutaneous fistulas. (
  • The fish bone, fistula, left thyroid lobe and an abscess were totally removed with preservation of her recurrent laryngeal nerve. (
  • She made displays the fistula tract and its connection to the uneventful recovery and was discharged on the gut, its level and the presence of associated abscess seventh postoperative day. (
  • In about half of all cases, the abscess develops into a fistula, degrading the muscle until an opening in the skin is created. (
  • Fascial-plane infections, space infections, and osteomyelitis can cause cutaneous fistulas. (
  • This video shows a small, chronic antral/pre-pyloric gastro-cutaneous fistula that occurred at a former gastrostomy tube site. (
  • Tracheocutaneous fistula (TCF) is one of the most feared complications after prolonged tracheostomy. (
  • This article will describe the most common causes, treatments, and complications of gastrointestinal fistulae. (
  • Fistula teeth and jaws are one of the major complica- des complications majeures de l'infection. (
  • Colocutaneous fistula complicating therapeutic mesenteric embolisation. (
  • Forma de presentación, historia natural y evolución de la enfermedad tromboembólica venosa postoperatoria en pacientes operados por cáncer abdominal y pélvico. (
  • In a study of 1,148 people undergoing abdominal surgery, researchers noted that 5.5 percent of participants developed fistulae after their operation. (
  • A doctor should always discuss the risks of fistulae with a person before they have abdominal surgery. (
  • An arteriovenous fistula (AVF) involving a major artery such as the abdominal aorta can lead to a large decrease in peripheral resistance , which in turn causes the heart to increase cardiac output in order to maintain proper blood flow to all tissues . (
  • Ilio - iliac arteriovenous fistula (AVF) presents with progressive abdominal distention , dyspnea , and edema of the leg , which makes it difficult to distinguish from deep venous thrombosis (DVT) and can lead to a delay in the diagnosis . (
  • Rupture or fistulization into the abdominal wall often presents with pus drainage from cutaneous fistulae. (
  • A fistula is an abnormal pathway between two anatomic spaces or a pathway that leads from an internal cavity or organ to the surface of the body. (
  • A gastrointestinal fistula occurs when an abnormal connection forms between part of the gastrointestinal tract and the skin or another organ, resulting in stomach acid leaking out. (
  • Bronchobiliary fistula (BBF) is defined as an abnormal communication between the biliary tree and the bronchial tract. (
  • An arteriovenous fistula (AVF) is an abnormal connection or passageway between an artery and a vein . (
  • An intestinal fistula is an abnormal tract that 190. (
  • A Fistula is a permanent abnormal passageway between two organs in the body or between an organ and the exterior of the body. (
  • Stedman's Medical Dictionary defines a sinus as a fistula or tract leading to a suppurating cavity. (
  • A cutaneous lesion such as a furuncle can be misdiagnosed as a sinus tract to the skin of the face. (
  • Conservative management of fistulae is based on parenteral nutrition and bowel rest, as well as on control of infection, electrolytic disturbances, and local care of the fistula tract. (
  • Somatostatin-14 has been used in addition to parenteral nutrition to further reduce the volume and enzymatic activity of the fluid output through the fistula tract, generally with good results. (
  • Although fistulas arising from other regions of the gastrointestinal (GI) tract (eg, stomach and esophagus) may sometimes be included in the definition of ECF, the discussion in this article is limited to the conventional definition of this condition. (
  • An external fistula is one that connects a portion of the gastrointestinal tract to the skin. (
  • b) injection in the fistula tract at a depth of no more than 2 mm (courtesy of Tigenix). (
  • Periorificial fusiform skin incisions are made parallel to the skin folds, followed by a viral blue dye injection for accurate visualization of the fistula tract, and the subcutaneous tubular fibrotic tissue is completely removed en bloc. (
  • In this case report, uterocutaneous fistula after pelviscopic myomectomy was diagnosed simply with hystero-salpingo contrast sonography and managed by surgical tract excision without hysterectomy and uterine wall dehiscence repair combined with medical treatment using gonadotropin-releasing hormone agonist succeeded to preserve fertility in young woman. (
  • Total parenteral nutrition (TPN) is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity (it is blocked, or has a leak - a fistula ) or because its absorptive capacity is impaired. (
  • Fistulas can arise in any part of the body, but they are most common in the digestive tract. (
  • Mortality was 62% in patients with gastric and duodenal fistulas, 54% in patients with small-bowel fistulas, and 16% with colonic fistulas. (
  • Roux-en-Y gastric bypass is one of the most commonly performed bariatric surgeries in Brazil. (
  • A novel peroral endoscopic treatment of gastric leaks in Roux-en-Y gastric bypassed patients is presented. (
  • Endoscopic repair of gastric leak after Roux-en-Y gastric bypass by using an acellular biomaterial is safe and effective. (
  • Schulman AR, Aihara H, Thompson CC. Treatment of gastrocutaneous fistula after percutaneous gastrostomy placement. (
  • While lavage through the percutaneous catheter with egress through the transmural fistula facilitates removal of liquefied necrotic material, solid necrotic material often requires direct debridement for complete resolution. (
  • Autologous Mesenchymal Stem Cells, Applied in a Bioabsorbable Matrix, for Treatment of Perianal Fistulas in Patients With Crohn's Disease. (
  • Up to 20% of patients with Crohn's disease (CD) may have perianal fistula disease. (
  • Cerebral angiography showed a large dural arteriovenous fistula in the torcular region. (
  • We report a case of BRBNS associated with a dural arteriovenous fistula (DAVF). (
  • Arteriovenous fistula (AVF) was first discovered by William Hunter, in 1758, during a venipuncture with accidental piercing of the artery . (
  • Congenital arteriovenous fistula (AVF) of the coronary arteries , a rare cardiac anomaly , was first described by Krause W. Uber, in 1865. (
  • Acquired arteriovenous fistula (AVF) can result in digital clubbing . (
  • Patients on hemodialysis with arteriovenous fistula (AVF) can develop pseudo- Kaposi's sarcoma . (
  • Tentorial dural arteriovenous fistula (AVF) can rarely manifest as trigeminal neuralgia . (
  • Congenital arteriovenous fistula (AVF) is present at birth and may manifest early or later in life. (
  • Mozafarpour S, Kajbafzadeh AM, Abbasioun R, Habibi AA, Nabavizadeh B. Ointment Fistulography: Introducing a Novel Technique for Single or Multiple Urethrocutaneous Fistula Diagnosis After Hypospadias Surgery. (
  • They should also check in with the individual after the surgery in case they have any symptoms of a fistula, as a prompt diagnosis is likely to improve the outcome. (
  • The time between fistula diagnosis and endoscopic treatment varied from 4 to 25 weeks (median: 7 weeks). (
  • Cutaneous lupus erythematosus: diagnosis and treatment. (
  • Nevertheless, preliminary data from initial trials suggest that somatostatin-14 and its analogue octreotide considerably improve the conservative treatment of gastrointestinal fistulae in the absence of distal obstruction. (
  • This type of fistula has multiple channels that affect more than one organ. (
  • The most common type of fistula involving these systems is a vesicovaginal fistula, in which the woman's vagina is connected to the urinary bladder. (
  • An infection may cause an intestinal fistula. (
  • Example - doc repairs colovesical/rectovesical, intestinal cutaneous and enteroenteric fistuals in 1 session. (
  • Intestinal fistulas can develop in both the large and small intestine. (
  • AbstractPurposeTo compare the double mesh nitinol stent (DNS) versus the self-expanding stent-graft (SES) in recurrent/resistant cephalic vein arch stenosis in dialysis fistulae.Materials and Methods17 cases with recurrent/resistant stenosis of the cephalic vein arch treated with a DNS were compared retrospectively with 18 cases treated with an SES. (
  • Repair of complex pharyngocutaneous fistula using a staged temporoparietal fascial flap. (
  • Objective: To describe our experience of dealing with pharyngocutaneous fistulas (PCF) following total laryngectomy. (
  • A three stage strategy is generally employed in the management of gastrointestinal fistulae which can form due to surgery, disease, or trauma. (
  • Most fistulae appeared during the first week after surgery. (
  • Recent experience with surgery for enterocutaneous fistulae (ECF) at a specialist colorectal unit is reviewed to define factors relating to a successful surgical outcome. (
  • Few would challenge the need to provide all kinds of support, including parenteral nutrition, to a patient with a self-limited condition such as a small bowel fistula resulting from radiation therapy, surgery, or infection. (
  • 3 A vesico-cutaneous fistula following prostate surgery. (
  • There are several types of TEFs categorized by where the fistula is located and how the esophagus and trachea are connected, but all are life-threatening and require prompt surgery to repair. (
  • Published studies using MSCs to treat Crohn's disease patients with perianal fistulas. (
  • However, it has been reported with granulomatous appendicitis9 Crohn's disease10 and when a Fistula opening malignancy in the appendix caused a mucocoele, just superior which ruptured into the retroperitoneal space to the iliac crest. (
  • Diabetics, individuals with compromised immune systems ( AIDS , cancer) and individuals with certain gastrointestinal diseases (Crohn's disease, inflammatory bowel disease) are at increased risk of developing fistulas. (
  • In more complicated cases where these drugs are ineffective, biological treatments based on monoclonal antibodies have been shown to have some success for the induction and maintenance of remission of perianal fistula disease and associated proctitis [ 5 - 11 ]. (
  • In a review of the literature in 1957, Kjellman 1 defined an appendiceal fistula as "the primary perforation of the appendix to an adjacent hollow viscus or the skin" and excluded fistulas resulting as sequellae of appendicitis treated surgically. (
  • surface is moderately congested and the lumen in the The treatment of appendiceal fistula is middle third is distended with faecal materials. (
  • Outcome of repeat supratrigonal obstetric vesicovaginal fistula repair after previous failed repair. (
  • The formation of a gastrointestinal fistula represents a relatively rare yet serious condition. (
  • What is a gastrointestinal fistula and what causes one? (
  • A gastrointestinal fistula is a severe medical condition that may require long-term care. (
  • When a person has a gastrointestinal fistula, digested food material cannot move properly through the body. (
  • A person with a gastrointestinal fistula can become very ill and may develop a condition known as sepsis . (
  • A person with an external gastrointestinal fistula will have an area of skin that is open. (
  • A doctor will consider a person's medical history when diagnosing a gastrointestinal fistula. (
  • Cutaneous fistula drainage management. (
  • In recent years the clinician has acquired a number of useful additions to the armamentarium of therapeutic choices, both surgical and pharmacological, for the treatment of gastrointestinal fistulae. (
  • Forty-four had oversewing or wedge resection of the fistula, and 159 had resection and reanastomosis of the involved small bowel segment or ileocolic anastomosis. (
  • In the literature, the terms fistulas and sinuses are often used interchangeably. (
  • Anal inspection is essential to exclude the presence of anal atresia, perineal fistula with anal atresia, the membranous form of anal atresia and anal stenosis. (
  • These lesions have 2 distant cutaneous orifices connected by a subcutaneous fistula. (
  • BRBNS had been diagnosed when the patient was aged 39 years on the basis of the typical appearance and histologic features of cutaneous and digestive lesions. (
  • [ 2 ] recommend a dental examination and radiographs to rule out infection of dental origin to the cutaneous face or neck. (
  • Infected chest fistula in a 90-year-old woman due to a tuberculosis infection. (
  • The fistula can be excised as a cosmetic operation even though no infection appeared. (
  • Another case with cutaneous manifestations involved a 44-year-old woman with a draining lesion to the skin just lateral to the nasofacial sulcus. (
  • Here, we present an extremely rare case of a migratory fish bone penetrating through the thyroid gland with a cutaneous fistula in the anterior neck one year after swallowing the foreign body. (
  • We present a case of a healthy patient who developed cerebrospinal fluidcutaneous fistula after an uneventful epidural catheter insertion for perioperative analgesia. (
  • The incidence and aetiology of fistulae are highly dependent on the surgical experience and case load at particular institutions, and on host-patient and disease related cofactors. (
  • A lot of the time you will find that there are no codes for 'fistula repair' and in that case you would code out the individual repairs. (
  • Bode C O and Odelola M A Entero-cutaneous fistula features are consistent with eosinophilic of the vermiform appendix in childhood: case report. (
  • The pus discharge temporarily subsided after antibiotic treatment, but the cutaneous fistula persisted. (
  • However, due to a combination of the seriousness and rarity of the condition and the difficulties inherent in trial design, data from large scale, double blind, randomised, controlled studies investigating the use of pharmacotherapy in the treatment of established gastrointestinal fistulae are lacking. (
  • The preoperative computed tomography scan confirmed the fistula and fiber-optic bronchoscopy (FBS) showed a TCF without tracheal stenosis. (
  • On physical examination, a non-tender reddish lesion with a fistula and granulation was seen on her anterior cervical skin. (
  • A horizontal cervical incision with the spindle-shaped excision of the orifice of the fistula was made, and the skin flap was elevated. (
  • The basic objectives of skin care management of GI fistulas are the prevention and management of skin breakdown and the promotion of healing of an open wound with a draining fistula by the containment of effluent. (
  • Skin or wound care management is one component of the overall medical-surgical management of patients with GI fistulas. (
  • Effective skin and wound care management is derived from a systematic approach that incorporates an accurate assessment of the fistula and surrounding skin or wound. (
  • Skin TB is known as cutaneous tuberculosis. (
  • The skin biopsy specimen of a cutaneous lesion demonstrated a cavernous angioma. (
  • to the skin (extra-oral or cutaneous). (
  • General practitioners and dermatologists, for their à eux, sont très souvent sollicités en première consulta- part, are very often solicited at first consultation by tion par des patients présentant de petits orifices cutanés patients with small skin orifices at which the pressure au niveau desquels la pression fait soudre du pus. (
  • Fistulas are categorized by the number of openings they have and whether they connect two internal organs or open through the skin. (
  • Complete fistulas have one internal opening and one opening on the skin. (
  • Incomplete fistulas are tubes of skin that are open on the outside but closed on the inside and do not connect to any internal structure. (
  • Chronic dental periapical infections or dentoalveolar abscesses cause the most common intraoral and extraoral fistulas. (
  • In almost 30% of the cases the fistula will become chronic. (
  • POPF rate (in %) as defined by the International Study Group on Pancreatic Fistula (ISGPF) in the soft versus hard pancreas group based on the median EUE stiffness measurements generated by values derived from hue histograms. (
  • The current study reviewed all patients having surgical repair of post-circumcision urethrocutaneous fistula from December 2014 to April 2019 at our institution. (
  • Origins and spread, salivary gland fistulas, oral antral and oral nasal fistulas, iatrogenic fistulas (eg, dental implant placement), and miscellaneous orocutaneous fistulas are addressed here. (
  • As a result, they are sometimes referred to as obstetric fistulas. (
  • Others estimate that as many as 2 million women worldwide are living with unrepaired obstetric fistulas. (
  • If left unrepaired, obstetric fistulas cause women to constantly leak urine and feces. (
  • Therefore autologous adipose-derived stem cells were extracted from lipoaspirate and applied in the surrounding fistula tissue in one session using the Cytori Celution system. (
  • Cutaneous Fistula" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (
  • Orofacial fistulas are not common, but intraoral sinus tracts due to dental infections are common. (
  • Kjellman noted that only eight cases of fistula between the appendix and intestine had been operated upon to that time and reported three more. (
  • This fistula connects part of the intestine to another organ in the body, such as the bladder. (
  • This fistula involves the connection of one area of the intestine to another. (
  • Fistulas may also develop between the vagina and the large intestine (a enterovaginal fistula) so that feces leaks from the vagina. (
  • A 56-year-old Japanese woman presented with a two-month history of a painless cutaneous fistula in her anterior neck with pus discharge. (
  • Unfortunately, when the appendix forms a fistula in this manner, further trouble can be expected. (
  • The organ most commonly involved by fistula from the appendix is the bladder. (
  • mettant en communication une lésion péridentaire pro- (tube), is a conduit putting in communication a deep fonde avec un orifice de sortie (GRETHER 1956). (
  • The aetiology, epidemiology, and classification of gastrointestinal fistulae are complex. (