ENMILP-X: Treatment of the Hostile Abdomen and Enteral Fistulas

ENMILP-X: Treatment of the Hostile Abdomen and Enteral Fistulas

ENMILP-X: Treatment of the Hostile Abdomen and Enteral Fistulas This clinical manual presents the ENMILP-X protocol , a step-by-step guide for the comprehensive management of the hostile abdomen and enteroatmospheric fistulas—two of the most complex and challenging surgical complications in abdominal and pediatric surgery. With a multidisciplinary, practical, and human-centered approach, this work integrates: Clinical and intraoperative diagnosis - Innovative surgical techniques such as the Rivera condom technique - Nutritional, psychological, and pain management strategies - Protocols adapted for low-resource settings - Risk and prognosis assessment tools (APACHE II, PRISM, PIM, etc.) - Use of tools such as bacterial detection via luminescence Illustrated with real clinical cases and authorized photographs, the text provides viable clinical solutions even in adverse scenarios. It is an essential tool for surgeons, intensivists, nutritionists, and professionals involved in the care of patients with hostile abdomens. Authors: Dr. Karla Mariana Morales Carmona Dr. Miguel Ángel Rivera Pérez