Peristomal leakage of enteroatmospheric fistulas treated with lipotransfer combined to minimal-invasive scar release technique

摘要: Lipografting is emerging as a “rescue” treatment for postoperative sequelae, soft tissue volume defects and refractory fistulas. After complicated laparotomies or colostomies, also peristomal deficiencies scarring can occur lead to severe care problems. Currently, no satisfactory available these sequelae resulting in general surgery. In this case report, we applied the operative approach by means of minimal-invasive scar release combined waterjet-assisted lipotransfer sculpturing on abdominal wall irregularities. We one procedure patient with insufficient stoma sealing large enteroatmospheric fistulas “frozen” open abdomen (Bjork 4 classification). Clinical aesthetic outcome were measured evaluated via digital photographs CT scan pre- postoperatively. Size reduction, complete appliance total healing skin damage accomplished within 5 weeks. Level Evidence: V, therapeutic study.