The appearance of
postoperative enterocutaneous fistula makes a deep trouble for the patient, a
high concern to the surgeon and major economic costs for the institutions.
rarely must afford such difficult problem. But, low habituallity in management
of said complication generates doubts at time to choose the more suitable
therapeutic strategy, which can hit negatively in the final result of the
Since 1998, we
dedicated ourselves specially to the study of intestinal fistulas, thus we have
received consults and patients from other health care centers of our country
and neighboring countries which are attended in Hospital “Dr. I Pirovano” from
Buenos Aires City in the public medicine, and prestigious clinics in the
Nowadays we have adapted our human and material resources also to apply them to
home care practice bringing more comfort to the patient and strongly reducing hospitalization
The accumulated experience
throughout these years has allowed us to optimize the treatment improving in
fistulas spontaneous closure and mainly obtaining a substantial mortality rate decrease.
Furthermore, we have incorporated the use of novel methods like the Vacuum and Compaction System
which it has allowed us to extend the assistance to the
treatment of other complex wounds as the open abdomen.
We used for these proceedings, an own digital and portable equipment
designed specifically for treatment of enterocutaneous fistulas.
This site is focused to
those colleges who specialize in this subject or those who have or have had
some difficult case. We presented here, prestigious physicians who complete our
team and we summarize our experience in some of the most representative
studies. The objective is to bring a useful tool to afford this problem in the
current practice and to change more information about it.
Dr. Daniel Wainstein