A simple, educational program for new ileostomy patients that includes preoperative teaching, standardized teaching materials, in-hospital engagement, observed management, and postdischarge tracking of intake and output is very effective in decreasing hospital readmission. The average length of stay remained stable, despite the addition of this teaching program to our perioperative/inpatient care.

Abstracts S23where an ileocecostomy, exploratory laparotomy and repair of a perforated appendix were completed. Also found at this time were extensive small and large bowel pneumatosis {free air} The abdomen was left open with the application a negative pressure therapy in the OR. An ileostomy with a mucous fistula and Vicryl mesh application to the abdominal wound was performed 1/20/08. Significant improvement to our patients' quality of life was evidenced by exudate and pain management. The negative pressure therapy system was utilized for ten months with dressing changes every three days. An aqueous wound gel and gauze dressing was utilized twice daily after the negative pressure therapy was discontinued. A very significant decrease in the size of the wound was evident along with abdominal closure. Our patient, his wife, his physicians, and the nursing staff were appreciative and impressed with the progress of our patient.