{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T17:12:25Z","timestamp":1783617145485,"version":"3.55.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>An enterocutaneous fistula (ECF) is a complex medical issue that occurs when abnormal communication between the small intestine and the skin occurs. This can lead to the leakage of digestive contents, such as feces and food, onto the skin\u2019s surface. The case of an 86-year-old woman is presented, who developed high-output ECF after undergoing Hartmann surgery, intestinal transit reconstruction for perforated diverticulitis and incisional hernia treatment involving hernioplasty and polypropylene mesh. The patient had suffered from a serous-purulent discharge from a low-volume surgical wound for several years. Despite optimizing the patient\u2019s nutritional status, a laparotomy and small bowel resection were performed successfully. However, using vacuum dressing as a cover for the fistula in the lower gastrointestinal tract remains a subject of debate and limited research. No officially recognized international guidelines recommend its use for small bowel ECF.<\/jats:p>","DOI":"10.1093\/jscr\/rjad161","type":"journal-article","created":{"date-parts":[[2023,4,2]],"date-time":"2023-04-02T00:41:12Z","timestamp":1680396072000},"source":"Crossref","is-referenced-by-count":2,"title":["Successful outcome of combined surgical and negative pressure therapy in complex enterocutaneous fistulas: a case report"],"prefix":"10.1093","volume":"2023","author":[{"given":"Paola","family":"Solis-Pazmino","sequence":"first","affiliation":[{"name":"Surgery Department , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"},{"name":"Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo Oliveira","family":"da Silva","sequence":"additional","affiliation":[{"name":"Surgery Department , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"},{"name":"Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Quezada","family":"Huiracocha","sequence":"additional","affiliation":[{"name":"Surgery Department , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"},{"name":"Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Henrique","family":"Saldanha","sequence":"additional","affiliation":[{"name":"Surgery Department , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"},{"name":"Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augusta","family":"Avila","sequence":"additional","affiliation":[{"name":"Surgery Department , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"},{"name":"Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Surgery Department , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"},{"name":"Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Pozza","family":"Pinto","sequence":"additional","affiliation":[{"name":"Surgery Department , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , Brazil"},{"name":"Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Hospital Dom Jo\u00e3o Becker, , Porto Alegre , 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