Summary of fistula characteristics and effect of VAC treatment
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Diagnosis | Rectal cancer | Adhesive intestinal obstruction | Recurrent vulval angiomyxoma |
Cause of fistula | Leakage from inadvertent enterotomy during relaparotomy for postoperative intestinal obstruction | Leakage from enteroenteric anastomosis during relaparotomy for intestinal ischaemia and intra-abdominal sepsis | Leakage from enteroenteric anastomosis fashioned after construction of ileal conduit |
Site of fistula | Mid-small intestine | Proximal small intestine | Distal small intestine |
Output of fistula | More than 1 l/day | 1 l/day | 300 ml/day |
Duration of VAC treatment | 5 weeks | 5 weeks | 3 weeks |
Effect of VAC | Improved skin condition and reduced fistulous output | Improved skin condition and reduced fistulous output | Complete healing of fistula in 3 weeks |