Journal of Surgical Case Reports · 7 authors, 7 centres
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An 81-year-old woman with a complex high-output enterocutaneous fistula following prior Hartmann surgery and hernia repair was managed with combined surgery and negative pressure wound therapy, resulting in a healed surgical wound and reduced fistula drainage.
An 81-year-old woman presented with abdominal pain and fever in the context of a longstanding serous-purulent discharge from a surgical wound, with prior history of Hartmann surgery for perforated diverticulitis and incisional hernia repair with polypropylene mesh. Initial surgical management to transform the fistula into a stoma and subsequent aspiration probe placement had limited success.
