Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report

Nephrocutaneous fistula (NCF) is a rare and severe complication of renal disease and surgical procedures. Treatments for NCF are based on the renal function, and can include nephrectomy, heminephrectomy, nephroureterectomy, endourological maneuvers or antibiotic therapy alone. Here we report a case...

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Autores principales:	Haonan Guan, Di Zhang, Xian Ma, Yechen Lu, Yiwen Niu, Yingkai Liu, Jiaoyun Dong, Yi Gao, Weiping Yang, Qimin Chen, Jiajun Tang, Shuliang Lu
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	foreign body reaction sinus tract nephrectomy omentum nephrocutaneous fistula Surgery RD1-811
Acceso en línea:	https://doaj.org/article/0c91e1a1268941a4b739d28229fc1508
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spelling	oai:doaj.org-article:0c91e1a1268941a4b739d28229fc15082021-11-11T05:14:21ZSuccessful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report2296-875X10.3389/fsurg.2021.728839https://doaj.org/article/0c91e1a1268941a4b739d28229fc15082021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.728839/fullhttps://doaj.org/toc/2296-875XNephrocutaneous fistula (NCF) is a rare and severe complication of renal disease and surgical procedures. Treatments for NCF are based on the renal function, and can include nephrectomy, heminephrectomy, nephroureterectomy, endourological maneuvers or antibiotic therapy alone. Here we report a case of a chronic NCF which occurred 5 years after partial nephrectomy. In this report, we describe a new surgical approach for the management of a patient with postoperative NCF. In the present case, in addition to removing the fistulous tract, we also performed an omental flap grafting to tightly cover the kidney. In addition to limiting and controlling the local inflammation, the omental flap prevents contact between the kidney and the flank muscle on its posterior rim. No recurrence or complications occurred throughout 10 months of follow-up. The NCF was successfully treated with completely removal of the sinus tract and omental flap grafting, without nephrectomy. This case adds new aspects to the treatment of NCF.Haonan GuanHaonan GuanDi ZhangDi ZhangXian MaXian MaYechen LuYechen LuYiwen NiuYiwen NiuYingkai LiuYingkai LiuJiaoyun DongJiaoyun DongYi GaoWeiping YangQimin ChenJiajun TangJiajun TangShuliang LuShuliang LuFrontiers Media S.A.articleforeign body reactionsinus tractnephrectomyomentumnephrocutaneous fistulaSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	foreign body reaction sinus tract nephrectomy omentum nephrocutaneous fistula Surgery RD1-811
spellingShingle	foreign body reaction sinus tract nephrectomy omentum nephrocutaneous fistula Surgery RD1-811 Haonan Guan Haonan Guan Di Zhang Di Zhang Xian Ma Xian Ma Yechen Lu Yechen Lu Yiwen Niu Yiwen Niu Yingkai Liu Yingkai Liu Jiaoyun Dong Jiaoyun Dong Yi Gao Weiping Yang Qimin Chen Jiajun Tang Jiajun Tang Shuliang Lu Shuliang Lu Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report
description	Nephrocutaneous fistula (NCF) is a rare and severe complication of renal disease and surgical procedures. Treatments for NCF are based on the renal function, and can include nephrectomy, heminephrectomy, nephroureterectomy, endourological maneuvers or antibiotic therapy alone. Here we report a case of a chronic NCF which occurred 5 years after partial nephrectomy. In this report, we describe a new surgical approach for the management of a patient with postoperative NCF. In the present case, in addition to removing the fistulous tract, we also performed an omental flap grafting to tightly cover the kidney. In addition to limiting and controlling the local inflammation, the omental flap prevents contact between the kidney and the flank muscle on its posterior rim. No recurrence or complications occurred throughout 10 months of follow-up. The NCF was successfully treated with completely removal of the sinus tract and omental flap grafting, without nephrectomy. This case adds new aspects to the treatment of NCF.
format	article
author	Haonan Guan Haonan Guan Di Zhang Di Zhang Xian Ma Xian Ma Yechen Lu Yechen Lu Yiwen Niu Yiwen Niu Yingkai Liu Yingkai Liu Jiaoyun Dong Jiaoyun Dong Yi Gao Weiping Yang Qimin Chen Jiajun Tang Jiajun Tang Shuliang Lu Shuliang Lu
author_facet	Haonan Guan Haonan Guan Di Zhang Di Zhang Xian Ma Xian Ma Yechen Lu Yechen Lu Yiwen Niu Yiwen Niu Yingkai Liu Yingkai Liu Jiaoyun Dong Jiaoyun Dong Yi Gao Weiping Yang Qimin Chen Jiajun Tang Jiajun Tang Shuliang Lu Shuliang Lu
author_sort	Haonan Guan
title	Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report
title_short	Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report
title_full	Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report
title_fullStr	Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report
title_full_unstemmed	Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report
title_sort	successful postoperative nephrocutaneous fistula treatment with omental flap grafting: a case report
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/0c91e1a1268941a4b739d28229fc1508
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Successful Postoperative Nephrocutaneous Fistula Treatment With Omental Flap Grafting: A Case Report

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