• Sudhir kumar, professor Plastic surgery department, Maharani Laxmibai Medical college, Jhansi
  • Aakansh Jain plastic surgeon


Enterocutaneous fistulae are one of the most dreaded complications of abdominal surgeries which may be due to the result of multiple causes like anastomotic failure, poor blood supply, or iatrogenic bowel injuries. These fistulae are classified based on their output. Most Low output fistulae usually close spontaneously but few remain patent and may require surgical intervention. We are presenting two of our cases where we have used the local transposition flap to cover the enterocutaneous fistulae successfully. It can serve as a good armour in the armamentarium of plastic surgeon.

Author Biography

Sudhir kumar, professor, Plastic surgery department, Maharani Laxmibai Medical college, Jhansi
Head of Department and Professor, Plastic surgery department, Maharani Laxmibai Medical college, Jhansi


1. Sabiston DC, Townsend CM. Small intestine. Sabiston Textbook of surgery: The Biological Basis of modern surgical practice. 20th ed., Philadelphia, PA: Elsevier; 2017, p. 1286–7.
2. Visschers R, van Gemert W, Winkens B, Soeters P, Olde Damink S. Guided Treatment Improves Outcome of Patients with Enterocutaneous Fistulas. World Journal Of Surgery 2012;36:2341-2348.
3. Lynch AC, Delaney CP, Senagore AJ, Connor JT, Remzi FH, Fazio VW. Clinical outcome and factors predictive of recurrence after enterocutaneous fistula surgery. Annals of Surgery. 2004;240(5):825–31.
4. Kaushal M, Carlson GL. Management of enterocutaneous fistulas. Clinics in Colon and Rectal Surgery. 2004May;17(2):79–88.
5. Evenson a, Fischer J. Current management of enterocutaneous fistula. Journal of Gastrointestinal Surgery. 2006Mar;10(3):455–64.
6. Carey J, Sheckter C, Watt A, Lee G. Intra-abdominal pedicled rectus abdominis muscle flap for treatment of high-output enterocutaneous fistulae: Case reports and review of literature. Journal Of Plastic, Reconstructive &Amp; Aesthetic Surgery 2013;66:1145-1148.
7. Mauldin J, Ciraulo D, Guest D, Smith P, Lett D, Barker D. Contralateral Rectus Abdominis Myofascial Transposition Flap Closure of an Anterior Abdominal Wall Lateral Duodenal Cutaneous Fistula After Shotgun Injury to the Abdomen. The Journal Of Trauma: Injury, Infection, And Critical Care 2006;60:1353-1357.
8. Chander J, Lal P, Ramteke V. Rectus abdominis muscle flap for high-output duodenal fistula: Novel technique. World Journal Of Surgery 2004;28:179-182.
9. Stephensen B, Brown J, Lambrianides A. A novel method for managing enterocutaneous fistulae in the open abdomen using a pedicle flap. Journal Of Surgical Case Reports 2012;2012:5-5.
10. Lynch A, Delaney C, Senagore A, Connor J, Remzi F, Fazio V. Clinical Outcome and Factors Predictive of Recurrence After Enterocutaneous Fistula Surgery. Annals Of Surgery 2004;240:825-831.
11. Haffejee A. Surgical management of high output enterocutaneous fistulae: a 24-year experience. Current Opinion In Clinical Nutrition And Metabolic Care 2004;7:309-316.
12. Chitale V, Chitale S. Enterocutaneous fistulae - report of three patients successfully treated by "turnover" flaps from surrounding tissue, reinforced by musculocutaneous flaps and other local flaps: a new method. European Journal Of Plastic Surgery 1996;19.
13. Hashiguchi S, Rikimaru H, Rikimaru-Nishi Y, Ohmaru Y, Migita H, Morihisa Y et al. Closure of Intractable Enterocutaneous Fistula with a Rectus Abdominis Musculocutaneous Flap. Plastic And Reconstructive Surgery - Global Open 2019;7:e2258.
How to Cite
KUMAR, Sudhir; JAIN, Aakansh. A NOVEL TECHNIQUE FOR ENTEROCUTANEOUS FISTULA CLOSURE. J Soc Surg Nep, [S.l.], v. 26, n. 1, p. 39-42, aug. 2023. ISSN 2392-4772. Available at: <https://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=523>. Date accessed: 19 may 2024.