Abstract: The aim is to report a case of poor wound healing secondary to enterocutaneous fistula wound management after oesophageal hiatal hernia repair and described our treatment experience. Using the stoma chassis decompression tugging to reduce the tension of the abdominal wall, combined with simplified negative pressure wound technology and saline flushing, and applying the negative pressure wound technology combined with the stoma bag to collect the digestive fluid of enterocutaneous fistulas. The negative pressure wound technique and stoma bag could collect the digestive fluid of the fistula, avoid the contamination of the skin around the fistula, reduce the symptoms caused by the dermatitis, alleviate the pain, and eventually promote the wound healing.

Key words: esophageal hiatal hernia, enteroenteric fistula, negative pressure wound technique, poor wound healing

摘要： 总结1例食管裂孔疝修补术后伤口愈合不良继发肠瘘的处理。通过运用造口底盘减张牵拉减轻腹壁张力,联合自制简易负压吸引技术及生理盐水持续冲洗促进腹部伤口愈合,并使用负压吸引技术联合造口袋收集肠瘘液,最终有效收集渗液,避免瘘口周围皮肤污染,减轻瘘口周围皮炎症状,减轻患者痛苦,促进伤口愈合。

关键词: 食管裂孔疝, 肠外瘘, 负压吸引技术, 伤口愈合不良