Combing a novel device and negative pressure wound therapy for managing the wound around a colostomy in the open abdomen

Sun, Xiaofang; Wu, Shaohan; Xie, Ting; Zhang, Jianping

doi:10.1097/md.0000000000009370

Cited by 7 publications

(9 citation statements)

References 14 publications

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“…Finally, a patient's activities of daily living may be limited by needing to carry a stationary or portable negative-pressure electrical suction pump. 21,23 Another important issue remains the long-term outpatient and home-based care with properly selected equipment and qualified personnel. Nurses caring for wounds can successfully carry out vacuum therapy after a few weeks of practical training.…”

Section: Discussionmentioning

confidence: 99%

Healing Peristomal Wounds Around Retracted Stomas with Negative-Pressure Wound Therapy: A Case Series

Cwaliński

Hermann

Banasiewicz

2023

Adv Skin Wound Care

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One method for treating a retracted stoma is a vacuum dressing that cleans the wound and protects against intestinal leakage. This case series describes the use of an integrated, single-use negative-pressure wound therapy (NPWT) dressing to treat retracted stomas as an alternative to other noninvasive remedies. The report includes seven patients who were hospitalized in the authors’ surgical department from 2019 to 2020. All patients developed severe peristomal infection that failed to respond to local treatment with proper ostomy appliances or specialist dressings. After cleaning each wound and removing necrotic lesions, the authors applied a single-use hydrofiber NPWT dressing to each patient. The dressing was changed every 2 to 5 days, depending on the effects of the therapy. The stoma orifice was covered with a bag with two-piece ostomy systems. The peristomal wound healed in all cases, and leakage was eliminated. The mean time of treatment was 14 days (range, 10–21 days), and the vacuum dressings were changed an average of four times (range, 3–7 times). None of the patients required a stoma translocation or other additional surgery. Three patients received systemic IV antibiotic therapy to treat general infection. Single-use NPWT dressings protect peristomal wounds from bowel leakage and do not hinder the application of stoma bags. This system, similar to standard NPWT devices, effectively protects infected stomas from retraction.

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Section: Discussionmentioning

confidence: 99%

Healing Peristomal Wounds Around Retracted Stomas with Negative-Pressure Wound Therapy: A Case Series

Cwaliński

Hermann

Banasiewicz

2023

Adv Skin Wound Care

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“…The method is based on the use of controlled vacuum, and drainage system which effectively removes exudate and exfoliated necrotic tissues, additionally reducing inflammation and bacterial count, leading to wound contraction through stimulation of microcirculation, and by promoting proliferation and migration of fibroblasts. [ 7 , 10 , 11 ] At present in Poland in outpatient healthcare, it is not refundable or easily accessible, which adversely affects its popularity among clinicians.…”

Section: Discussionmentioning

confidence: 99%

“…Effectiveness of the dressing and its durability are also determined by possible contamination of the dressing with urine or excrement and by the patients activity. [ 7 ] Various aspects of handling the kit and monitoring its effectiveness as well as the related education are of particular importance if the therapy is provided in home environment where the patient's family is also involved some care related activities. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Use of controlled negative pressure in management of phlegmon caused by fulminant complication of pressure wound

Bazaliński

Więch²,

Kaczmarska

et al. 2018

Medicine

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Rationale:Effective wound healing depends on the adequate choice of the wound cleansing method, to enable rapid removal of necrotic tissue. Negative pressure wound therapy (NPWT) is an effective non-invasive technique for management of wounds of varied aetiology, including deep tissue injuries caused by pressure.Patient concerns:This article discusses a case of an 82-year-old female receiving hospice care at home owing to progressing untreated thoracic spinal stenosis, bedridden for 4 years, incapable of self-care.Diagnoses:Three fulminant pressure wounds, 50 cm2 each, with signs of undermining, Stage II/IV according to National Pressure Ulcer Advisory Panel, were identified in the area of the sacrum and the right and left trochanter. Despite measures used to prevent pressure sores, and nutritional supplementation, two months later a fourth pressure ulcer involving subcutaneous tissue was identified in the area of the right sciatic tuber, accompanied with signs of systemic inflammatory response, as well as massive phlegmon and lesion in the ischial bone.Interventions:As previously applied treatments (surgical necrectomy, biological therapy - Lucilia Sericata maggots, autolysis, pharmacological therapy) proved ineffective, NPWT was experimentally administered to evacuate exudate and to cleanse the wound.Outcomes:Application of negative pressure during a 42-day therapy allowed significantly faster cleansing of the wound. The pressure wounds was significantly reduced in size, and necrotic tissue was removed from the sciatic tuber, which ultimately was covered with granulation tissue.Lessons:Controlled negative pressure can successfully be used in the process of cleansing an infected pressure wound to safely remove exudate and to minimise local inflammation. Administration of controlled negative pressure is an effective and safe method in the process of cleansing an infected pressure wound.

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“…Тяжкість стану хворих на гостру спайкову кишкову непрохідність у післяопераційному періоді багато в чому визначається розвитком синдрому ентеральної недостатності. Із розвитком парезу та затримкою пасажу кишкового вмісту відбуваються інтенсивне зростання та зміна мікрофлори тонкої кишки, розвивається процес проксимальної мікробної контамінації та колонізації [1,2].…”

Section: вступunclassified

“…Із питань зміни активності ферментних систем при гострій кишковій непрохідності є поодинокі суперечливі повідомлення [7,8], немає даних про оцінку активності протеолітичних ферментів у ранньому післяопераційному періоді, що необхідно враховувати при ентеральній декомпресії та інфузії розчинів [9,1,10].…”

Section: вступunclassified

Application of Intestinal Lavage for Correction of Proteolytic Activity in Acute I Ntestinal Obstruction

Boyko¹,

Merkulov²,

Шевченко³

et al. 2022

Khark. Surg. Sch.

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Summary. The aim of the work is to improve the results of treatment of patients with acute adhesive intestinal obstruction in the postoperative period by correcting the proteolytic activity of small intestinal contents Materials and methods. 62 patients were operated on for acute adhesive intestinal obstruction. All patients underwent nasogastrointestinal intubation with aspiration of intestinal contents and subsequent prolonged intestinal decompression. Research results. In the second group, after intestinal lavage with α-aminocaproic acid, a decrease in total proteolytic activity was observed both in the contents of the small intestine and in blood serum. Conclusions. The use of intestinal lavage with the use of aminocaproic acid leads to a faster normalization of total proteolytic activity both in the contents of the small intestine and in the blood serum, to a decrease in the α1-antiproteinase inhibitor, proteolysis index, and also contributes to an earlier elimination of intestinal paresis.

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Combing a novel device and negative pressure wound therapy for managing the wound around a colostomy in the open abdomen

Cited by 7 publications

References 14 publications

Healing Peristomal Wounds Around Retracted Stomas with Negative-Pressure Wound Therapy: A Case Series

Healing Peristomal Wounds Around Retracted Stomas with Negative-Pressure Wound Therapy: A Case Series

Use of controlled negative pressure in management of phlegmon caused by fulminant complication of pressure wound

Application of Intestinal Lavage for Correction of Proteolytic Activity in Acute I Ntestinal Obstruction

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