USO DEL SISTEMA DE PRESIÓN NEGATIVA EN EL MANEJO DE LOS PACIENTES CON FÍSTULAS ENTEROCUTÁNEAS POSTOPERATORIAS EN EL HOSPITAL TEODORO MALDONADO CARBO DE LA CIUDAD DE GUAYAQUIL EN PERIODO MARZO 2014 - MARZO 2016

Abstract

Objective: To determine the benefits of using the negative pressure wound therapy for the management of wounds with enterocutaneuos fistulas. Materials and methods: Approval of the Teaching and Research Coordination of Teodoro Maldonado Carbo Specialties Hospital to study patients diagnosed with enterocutaneous fistula of the city of Guayaquil during the period from March 2014 to March 2016. We analyzed 80 cases (46 men, 34 women, mean age 54.26 years). Three different negative pressure wound therapy, Barker type, VAC and VACCUM PACK were used according to availability of hospital supplies. The evolution of the patients was monitored and a database was made. Results: There was a statistically significant difference (p = 0.0000) between the group of patients who did not use the negative pressure wound therapy and the group that used it, since it allows the days of hospitalization to decrease markedly compared to Non-use of system. The 80.85% (38/47) patients with negative pressure wound therapy have a hospitalization time of less than 30 days, 19.14% (9/47) more than 30 days; with a minimum of 15 days and a maximum of 33 days, and an average of 24.04 days. Conclusion: Negative pressure wound therapy is a highly effective and safe therapeutic method in patients with enterocutaneous fistulas. The healing of the wounds presents a rapid evolution, decreasing the hospital stay and producing a high percentage of success in premature closure and the prevention of the proliferation of bacteria.