AN OBSERVATION ON CASES OF ENTEROCUTANEOUS (FAECAL) FISTULA AFTER EXPLORATORY LAPAROTOMY

Dr. Deepak Pankaj; Dr. Vikram Jha; Dr. Abhishek Ranjan; Dr. Indudhar Narayan Jha

Volume : VI, Issue : III, March - 2017

AN OBSERVATION ON CASES OF ENTEROCUTANEOUS (FAECAL) FISTULA AFTER EXPLORATORY LAPAROTOMY

Dr. Deepak Pankaj, Dr. Vikram Jha, Dr. Abhishek Ranjan, Dr. Indudhar Narayan Jha

Abstract :

Faecal fistula possesses a great challenge for the treating surgeon as it is s significant cause of morbidity and mortality following abdominal surgery. Material and Methods: Twenty two cases of faecal fistula were included in this series that developed after exploratory laparotomy either emergency or elective in Department of Surgery, Katihar Medical College & Hospital, Katihar over a period of one year. Observation: Number of males were slightly more than woman in the study with ratio being 1.2 : 1. Maximum number of patients were in age group 16 to 35 years . Conservative treatment was carried out in 68.18% of the cases while operative interventions were carried out in 31.82% of cases. Mortality rate was 27% in all cases of enterocutaneous fistula. Conclusions: A favorable outcome in patients with enteroctaneous fistula depends on a multimodality approach towards the patient which involves wide spectrum antibiotics coverage for control of sepsis, adequate nutritional support, maintenance of fluid–electrolyte balance and skin care.