Reider KE
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2017 May 1;volume 44(3):293-298.
1. J Wound Ostomy Continence Nurs. 2017 May/Jun;44(3):293-298. doi:
10.1097/WON.0000000000000329.
Fistula Isolation and the Use of Negative Pressure to Promote Wound Healing: A
Case Study.
Reider KE(1).
Author information:
(1)Kersten E. Reider, RN, BSN, CWOCN, WOC Nurse, Reading Health System, West
Reading, Pennsylvania.
BACKGROUND: A 54-year-old morbidly obese woman with a small bowel obstruction and
large ventral hernia was admitted to hospital. She underwent an exploratory
laparotomy, lysis of adhesions, and ventral hernia repair with mesh placement.
She subsequently developed an enteroatmospheric fistula; several months of
hospital care was required to effectively manage the wound and contain effluent
from the fistula.
METHODS: Several approaches were used to manage output from the fistula during
her hospital course. She was initially discharged to a skilled nursing facility
where a fistula management pouch was used for several months to encompass the
wound and contain effluent, but this method ultimately proved ineffective. The
fistula was then isolated using a collapsible enteroatmospheric fistula isolation
device and an ostomy appliance to contain effluent.
CONCLUSION: The application of the collapsible enteroatmospheric fistula
isolation and effluent containment devices in conjunction with negative-pressure
wound therapy produced positive patient outcomes; it improved patient
satisfaction with fistula management, promoted wound healing, and diminished
cost.
DOI: 10.1097/WON.0000000000000329
PMID: 28472817 [Indexed for MEDLINE]
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