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Surgery 101

Welcome to Surgery 101, a series of podcasts produced with the help of the University of Alberta in Edmonton, Canada. The podcasts are intended to serve as brief introductions or reviews of surgical topics for medical students. We've aimed to cover a single topic in between 10-20 minutes so that you can quickly get a good idea of the basic concepts involved. Every episode is divided into chapters and concludes with several key points to summarize the topic. We are always keen to receive your feedback on our podcasts, and we are accepting suggestions for additional topics. New episodes are published every Wednesday. 'Surgery 101' was created by Dr Parveen Boora and Dr Jonathan White, and is supported by the Department of Surgery at the University of Alberta. Our 2010 series of podcasts are brought to you by the Undergrad Surgery Mobile Podcasting Studio Team which is: Jonathan, Jenni, and many wonderful students, with the assistance of the surgeons of Edmonton.
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There are PDF Notes available for every Surgery 101 podcast. 

Jun 18, 2011

In this episode, Dr Jonathan White discusses the topic of enterocutaneous fistula. After listening to this podcast, learners should be able to:

  • define what a fistula is
  • describe how to recognize an enterocutaneous fistula
  • list the common causes of enterocutaneous fistula
  • outline the physiological consquences associated with enterocutaneous fistula
  • explain the principles of management of enterocutaneous fistula using the SNAP principle

Running time 18:51

 

2 Comments
  • almost six years ago
    Jon
    Good question. We're usually trying to decrease the drainage from a fistula and get it to dry up, so applying vacuum doesn't seem like a good idea because it will make more stuff come out. Having said that, using a vac can be effective on some fistulas, and can provide a way to control the effluent and protect the skin. I don't think there's much evidence either way, and applying a vac doesn't seem to hurt much, so I'd give it a try in the right circumstances. (comment also posted to surgery101.org)
  • over six years ago
    Jay Percival
    Thank you for this podcast! Are there circumstances in which putting a wound vac over a fistula is appropriate? On the unit I work, sometimes the docs want to try this, but it always ends up being a contentious issue. Thanks again!

    Jay
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