Erschienen in:
01.03.2015 | Trick of the Trade
“Sandwich technique” with bridging, a modification of negative pressure wound therapy for anal fistulas
verfasst von:
T. Banasiewicz, J. Hermann, L. Krokowicz, M. Drews
Erschienen in:
Techniques in Coloproctology
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Ausgabe 3/2015
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Excerpt
The surgical treatment of anal fistulas is a complex problem, associated with high relapse rates. Wounds frequently heal by the secondary intention. The process is time-consuming and frequently causes discomfort to the patient. Negative pressure wound therapy seems to be one of the methods which might accelerate the healing process in patients who have undergone surgery for anal fistula. Nevertheless, this approach is seldom used. The principal challenge in applying negative pressure wound therapy (NPWT) in the anal and perineal regions remains appropriate application of particular elements forming the negative pressure dressing and above all tight pasting of the foil. …