Ein neuer Adapter zur Versorgung von entero- atmosphärischen Fisteln beim offenen Abdomen A Novel Device for Treating Enteroatmospheric Fistulae in the Open Abdomen

The formation of an enteroatmospheric fistula in the open abdomen is a severe complication. In comparison to enterocutaneous fistulae the man- agement remains a challenge. Safety of the sur- rounding bowel or granulation tissue is a major problem. Suturing of the fistula is rarely suc- cessful. Otherwise limited resection and a new anastomosis of the intestine is often not possible. Avarietyof therapeutic procedures exists to sepa- rate the fistula from the surrounding wound. Combinations using vacuum therapy seem to be most effective. But none of the therapies used will match every situation. We present a novel device for managing enteroatmospheric fistulae in combination with vacuum therapy. In most cases separation of the fistula from the negative pressure on the surrounding wound is achieved. The fistula adapter allows for a safe build-up of granulation tissue with an effective drainage of fistula secretion. The novel device also supports split thickness skin grafting around the fistula.