Management of an Enteroatmospheric Fistula | eakin Wound Pouches™
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Management of an Enteroatmospheric Fistula

This case study examining the use of eakin Wound Pouches, eakin Cohesive® paste and eakin Cohesive® skin barriers in managing an open wound and enteroatmospheric fistula.

Submitted by: Lawrence Ikahu, Clinical Practice Consultant – Continence and Stoma Care, Aga Khan University Hospital, Nairobi, Kenya

Patient History

A 72-year-old gentleman.

 Intestinal obstruction and a parastomal hernia.

An interventional laparotomy was performed but the patient was left with an open abdomen.

 Later developed an enterocutaneous fistula.

The enteroatmospheric fistula was being managed by negative pressure wound therapy (NPWT) with little success.

Before
Before

Care Management Plan

The new care management plan involved use of an eakin Wound Pouch which facilitated the maintenance of moisture around the wound while allowing fistula output to drain, avoiding leakage. eakin Wound Pouches were used for 3 weeks in hospital. The patient was discharged home with the eakin Wound Pouch being changed every 2 days. A combination of eakin Cohesive® skin barriers, eakin Wound Pouches and eakin Cohesive® paste were used to protect the surrounding skin. The eakin Wound Pouch facilitated wound healing, ensured accurate measurement of output and did not hinder the gentleman’s mobility. Progress over the following month was impressive.

The wound reduced markedly in size from a 10 cm diameter to a 2 cm diameter, meaning wound closure was imminent. There were two options available for closure; either allow the small wound to close naturally or for the plastic surgeon to create a muscle flap.

During
During

Conclusion

 Fistula output could be monitored.

Accurate fluid measurement.

Patient discharged home.

Patient able to be mobile.

Odour Control.

 Home nurses only needed to attend every 2 days.

After
After