Management of Cecocutaneous Fistula Following Appendicectomy by Laparoscopic/Minimally Invasive Approach

Abstract

The management of appendicitis with appendicectomy is very common in surgical practice. A very rare and recognized complication of appendicitis and appendicectomy is the formation of an enterocutaneous fistula. The management of enterocutaneous fistula varies depending on the output of the fistula, its location, the severity of the disease and the patient's characteristics etc. They can be managed conservatively or surgically. Traditional surgical management requires laparotomy with bowel resection and anastomosis. Here, we describe a 43-year-old gentleman who had cecocutaneous fistula on the background of an earlier open appendectomy. He had laparoscopic fistula excision with stapler wedge resection of the affected bowel. With advances in minimal invasive surgery, laparoscopic approach is preferred option nowadays due to early recovery and decreased morbidity. With this paper we also reviewed the management of enterocutaneous fistula.