Management of a complex open abdominal wound
This case study looks at the management a complex open abdominal wound
Submitted by: Jeanette Fingren RN ETN, Colorectal unit Sahlgrenska University Hospital, Östra, Göteborg, Sweden
• A 65-year-old gentleman, diagnosed with a rectal cancer.
• Had an abdominal perineal excision of rectum and formation of a permanent colostomy.
• Developed a large parastomal hernia.
• Decision was made to repair the parastomal hernia and re-site the colostomy to the right-side of the abdomen.
• Developed a small bowel obstruction after surgery which required another laparotomy.
• The wound dehisced and the bowel protruded through the abdominal wall.
Care Management Plan
An eakin Wound PouchTM was used to collect the effluent from the high-output enterocutaneous fistula as it was the most cost-effective, clinically efficient and effective wound management option for the gentleman. eakin Wound PouchesTM were selected as they can be used for large complex wounds and fistulas with no adverse effects such as secondary infection.
• eakin Wound PouchTM efficient and effective.
• No adverse side-effects.
• Patient comfortable.
• Patient wellbeing maintained.
• Low-cost solution.