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The large loss of proteins, electrolytes and fluid, and the distressing nature of the open abdomen for both patients and doctors, make managing these EAFs a clinical challenge. We present our experience with a high output mucosal protruding EAF and the creation of a \u2018VAC donut\u2019 allowing a successful diversion of the enteric content whilst promoting granulation of the tissue bed.<\/jats:p>","DOI":"10.1111\/ans.18270","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T12:31:16Z","timestamp":1673440276000},"page":"682-686","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["How to isolate a high output enteroatmospheric fistula in the open abdomen with negative pressure therapy: an institution's step by step guide to the <scp>VAC<\/scp> donut"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0945-3690","authenticated-orcid":false,"given":"Katherine J. 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