Management of Enterocutaneous Fistula with VAC therapy. Case report and literature review

Enterocutaneous fistulas are a rare complication of the usual abdominal-intestinal surgical practice that represent a challenge for the surgeon in his treatment that is generally stagnant due to the progressive deterioration of the condition of the patient suffering from the fistula. There are multiple treatment modalities and accepted schemes. In recent years, VAC therapy has gained ground in this pathology,We presenting the case of a 60-year-old man who presented enterocutaneous fistula after ileostomy closure as a postoperative complication, which is managed with therapy. VAC

Colaboración Interdisciplinaria en Medicina Interna y Urología: Estrategias Innovadoras en el Diagnóstico y Tratamiento de la Litiasis Renal.

Introduction: In the convergence of Internal Medicine and Urology, renal lithiasis emerges as a multifaceted clinical challenge. This article explores the forefront of interdisciplinary collaboration, highlighting innovative strategies in diagnosis and treatment. From the integration of artificial intelligence to telemedicine and personalized medicine, we examine how these advancements impact the care of patients with kidney stones. Development: In the development of the theoretical framework, renal lithiasis was explored from various perspectives. Diagnostic aspects were meticulously examined, emphasizing the significance of medical history, urine analysis, and advanced imaging techniques. The therapeutic approach section explored from non-invasive strategies to surgical procedures, emphasizing personalized treatment. Furthermore, innovations in medical technologies and the integration of telemedicine for collaborative consultations were highlighted. Practical applications or future lines of research: Practical applications and future lines of research in renal lithiasis include the integration of artificial intelligence for accurate diagnosis, the advancement of telemedicine for interdisciplinary consultations. Conclusions:  The collaboration between Internal Medicine and Urology, supported by innovative technologies and personalized approaches, promises to revolutionize the approach to renal lithiasis. These conclusions highlight the effectiveness of telemedicine, the integration of artificial intelligence, and suggest a promising future for the care of patients with kidney stones.Introducción: En la convergencia de Medicina Interna y Urología, la litiasis renal emerge como un desafío clínico multifacético. Este artículo explora la vanguardia de la colaboración interdisciplinaria, destacando estrategias innovadoras en diagnóstico y tratamiento. Desarrollo:  En el desarrollo del marco teórico, se profundizó en la litiasis renal desde diversas perspectivas. Se examinaron meticulosamente los aspectos diagnósticos, resaltando la importancia de la historia clínica, análisis de orina y técnicas de imagen avanzadas. La sección sobre el abordaje terapéutico exploró desde estrategias no invasivas hasta procedimientos quirúrgicos, enfatizando la personalización del tratamiento. Aplicaciones prácticas o futuras líneas de investigación: Las aplicaciones prácticas y futuras líneas de investigación en litiasis renal incluyen la integración de inteligencia artificial para diagnóstico preciso, el avance de la telemedicina para consultas interdisciplinarias ConclusionesLa colaboración entre Medicina Interna y Urología, respaldada por tecnologías innovadoras y enfoques personalizados, promete revolucionar el abordaje de la litiasis renal. Estas conclusiones resaltan la eficacia de la telemedicina, la integración de la inteligencia artificial, y sugieren un futuro promisorio para la atención a pacientes con cálculos renales