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Combing a novel device and negative pressure wound therapy for managing the wound around a colostomy in the open abdomen: A case report.

Abstract An open abdomen complicated with small-bowel fistulae becomes a complex wound for local infection, systemic sepsis and persistent soiling irritation by intestinal content. While controlling the fistulae drainage, protecting surrounding skin, healing the wound maybe a challenge.
PMID
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Authors

Mayor MeshTerms

Colostomy

Negative-Pressure Wound Therapy

Keywords
Journal Title medicine
Publication Year Start




PMID- 29384913
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 52
DP  - 2017 Dec
TI  - Combing a novel device and negative pressure wound therapy for managing the wound
      around a colostomy in the open abdomen: A case report.
PG  - e9370
LID - 10.1097/MD.0000000000009370 [doi]
AB  - RATIONALE: An open abdomen complicated with small-bowel fistulae becomes a
      complex wound for local infection, systemic sepsis and persistent soiling
      irritation by intestinal content. While controlling the fistulae drainage,
      protecting surrounding skin, healing the wound maybe a challenge. PATIENT
      CONCERNS: In this paper we described a 68-year-old female was admitted to
      emergency surgery in general surgery department with severe abdomen pain.
      Resection part of the injured small bowel, drainage of the intra-abdominal
      abscess, and fashioning of a colostomy were performed. DIAGNOSES: She failed to
      improve and ultimately there was tenderness and lot of pus under the skin around 
      the fistulae. The wound started as a 3-cm lesion and progressed to a 6 x13 (78
      cm) around the stoma. INTERVENTIONS: In our case we present a novel device for
      managing colostomy wound combination with negative pressure wound therapy.
      OUTCOMES: This tube allows for an effective drainage of small-bowel secretion and
      a safe build-up of granulation tissue. Also it could be a barrier between the
      bowel suction point and foam. LESSONS: Management of open abdomen wound involves 
      initial dressing changes, antibiotic use and cutaneous closure. When compared
      with traditional dressing changes, the NPWT offers several advantages including
      increased granulation tissue formation, reduction in bacterial colonization,
      decreased of bowel edema and wound size, and enhanced neovascularization.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Sun, Xiaofang
AU  - Sun X
AD  - Department of Dermatology.
FAU - Wu, Shaohan
AU  - Wu S
AD  - Department of General Surgery, The Second Hospital Affiliated to Jiaxing
      University, Jiaxing, Zhejiang, China.
FAU - Xie, Ting
AU  - Xie T
AD  - Wound Healing Department, Shanghai 9th People's Hospital, Shanghai Jiao Tong
      University School of Medicine, Shanghai, China, 200011.
FAU - Zhang, Jianping
AU  - Zhang J
AD  - Department of Dermatology.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Abdominal Wound Closure Techniques/*instrumentation
MH  - Aged
MH  - *Colostomy
MH  - Female
MH  - Humans
MH  - Intestine, Small/injuries/*surgery
MH  - *Negative-Pressure Wound Therapy
MH  - Peritonitis/etiology/pathology/*surgery
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000009370 [doi]
AID - 00005792-201712290-00021 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(52):e9370. doi: 10.1097/MD.0000000000009370.