1. Management of Complicated Ostomy Dehiscence
- Author
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Erman Aytac, Ebru Kirbiyik, Bilgi Baca, Afag Aghayeva, Eren Esen, Ismail Hamzaoglu, Sehri Demir, Tayfun Karahasanoglu, Ismail Ahmet Bilgin, Volkan Ozben, and Mustafa Bas
- Subjects
medicine.medical_specialty ,Turkey ,Ostomy ,medicine.medical_treatment ,Dehiscence ,Stoma ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Negative-pressure wound therapy ,Surgical Wound Dehiscence ,medicine ,Humans ,Digestive System Surgical Procedures ,Aged ,Advanced and Specialized Nursing ,Wound Healing ,Debridement ,integumentary system ,030504 nursing ,Abdominoperineal resection ,business.industry ,Wound dehiscence ,medicine.disease ,Colorectal surgery ,Surgery ,Medical–Surgical Nursing ,Rectovaginal fistula ,030220 oncology & carcinogenesis ,Female ,0305 other medical science ,business - Abstract
Background Stoma creation is a common procedure in colorectal surgery. Despite improved surgical techniques, ostomy-related wound complications may prolong the recovery period and impair health-related quality of life. Negative pressure wound therapy (NPWT), autolytic debridement agents, and silver dressings are often used for managing complex wound infection and dehiscence. These applications have the potential to increase patient comfort and accelerate recovery. Case We report our experience in a 66 year old female who had a wound dehiscence involving the ostomy after robotic abdominoperineal resection. Her medical history was significant for a rectovaginal fistula which occurred after a low anterior resection for rectal cancer 5 years ago. Interventions for treatment of the dehiscence were use of NPWT, autolytic debriding agent, and silver dressing. Conclusion Combined use of these interventions for dehiscence of an ostomy can minimize patient discomfort and accelerate wound healing.
- Published
- 2020
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