Acquired Umbilical Fistula Associated with Suture Infection Following Lower Abdominal Surgery
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Accession number;05A0160466
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| Title;Acquired Umbilical Fistula Associated with Suture Infection Following Lower Abdominal Surgery |
| Author;
KUBO MASAKO
(Yamanashi Central Hospital, JPN)
YAMATAKA TAMIKI
(Yamanashi Central Hospital, JPN)
IWASHITA KIMIE
(Yamanashi Central Hospital, JPN)
ARAI YOJI
(Yamanashi Central Hospital, JPN)
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Journal Title;Japanese Journal of Pediatric Surgery
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Journal Code:Z0323B
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ISSN:0385-6313
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VOL.37;NO.1;PAGE.25-30(2005)
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| Figure&Table&Reference;FIG.3, TBL.1, REF.13 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Umbilical fistula due to suture infection is a rare complication after lower abdominal surgery such as repair of inguinal hernia, appendectomy or colostomy closure. We encountered two cases of acquired umbilical fistula associated with knot infection after surgery. A 3-year-8-month-old boy presented with umbilical discharge after repair of right inguinal hernia at 1-year-2-months, of age. And a 1-year-4-month-old girl with total colon aganglionosis had an umbilical fistula after taking-down ileostomy on pull-through surgery at 9 months of age. In both cases, fistulography revealed a duct running down from the umbilicus through to the previous wound site. In the former case, surgical removal of the entire fistula was performed and a silk ligature was taken out with fibro-granulation tissue. In the latter case, debridement around the fistula was done and spontaneous regression of the fistula was achieved after removal of four silk ligatures. Fourteen cases of acquired umbilical fistula have been reported previously, including 13 post-herniorrhaphy and 1 post-appendectomy cases. In all cases, the medial umbilical fold seemed to serve as an important route for infection. Surgical removal of the entire fistula was necessary. Recently, laparoscopic intervention was reported with success. To prevent this complication, many authors recommend the use of monofilament absorbable sutures instead of silk sutures for initial surgery. (author abst.) |
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