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Suggest Treatment For Entercutaneous Fistula
Question: My wife has had surgery in her belly to try to reverse a colostomy bag. Since the surgery her wound is not healing . She now has a wound vac to help close a tunnel wound at least 9 centimeters deep. I don't understand why this wound is taking so long to heal. Surgery was 7 months ago and she did end up with a fistula in her intestines probably from a XXXXXXX during surgery, which the surgeon said. The wound Dr doesn't seem very concerned about the length of time this is taking. He said a belly wound is hard to heal. My wife is also over weight and has a lot of belly fat. I was wondering if this is contributing to the long healing process.
Brief Answer:
Possibility of Entercutaneous fistula
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Sir
A wound persisting for such a long duration following Colostomy Closure following possibility needs to be considered and ruled out
1. Development of Entercutaneous fistula ( communicating track between intestine and skin wound): This is more likely the cause if there is persistent discharge especially fecal from the wound
2. Atypical wound infection
Obesity and presence of excess fat in abdominal wall will lead to delayed wound healing in immediate post operative period. It is unlikely to be the primary cause for wound which has persisted so long.
It would be helpful if you could provide me following additional information
1. Is there any discharge from the wound, if there is discharge what is the nature and quantity of discharge
2. Was any wound culture carried out?
3. Providing clinical photograph will be very helpful.
Do get back to me
Take care
Best regards
Dr Deepak Kaltari
Consultant Surgeon
Possibility of Entercutaneous fistula
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Sir
A wound persisting for such a long duration following Colostomy Closure following possibility needs to be considered and ruled out
1. Development of Entercutaneous fistula ( communicating track between intestine and skin wound): This is more likely the cause if there is persistent discharge especially fecal from the wound
2. Atypical wound infection
Obesity and presence of excess fat in abdominal wall will lead to delayed wound healing in immediate post operative period. It is unlikely to be the primary cause for wound which has persisted so long.
It would be helpful if you could provide me following additional information
1. Is there any discharge from the wound, if there is discharge what is the nature and quantity of discharge
2. Was any wound culture carried out?
3. Providing clinical photograph will be very helpful.
Do get back to me
Take care
Best regards
Dr Deepak Kaltari
Consultant Surgeon
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Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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