RN Nursing Staff Coordinator. Raimondo Arena – RN. Antonino Gulino .
U.O.C. di Chirurgia Oncologica – A.O. di Rilievo Nazionale e di Alta Specializzazione “Garibaldi” Catania - ITALY
TREATMENT WITH NEGATIVE PRESSURE AND DRAINAGE
SHEET FOR PERISTOMALE SEVERE COMPLICATION AFTER
SIGMA NEOPLASIA IN PATIENTS UNDERGOING DIALYSIS.
WITH NEGATIVE PRESSURE AND DRAINAGE SHEET FOR PERISTOMALE
LICATION AFTER SIGMA NEOPLASIA IN PATIENTS UNDERGOING DIALYSIS.
owel operations lead, at the end, to the packaging of a derivation. The evolution of surgical techniques and
tage of occurrence of complications varies between 28 and 70%.
a 68-year-old woman undergoing surgery for resection of sigmoid colon-rectum en-bloc with hysterectomy
s a result of tight stenosis of sigmoid rectum. On the tenth day from surgical act is present peristomal tissue
ct-cutaneous and mucocutaneous fistula from peristomal wound to laparotomy incision, resulting in
urgical and infectious complication of ostomy with negative pressure device and drainage sheet.
surgical debridement of peristomal tissue, negative pressure was applied with new protective sheet of anse
xposed, to remove non-viable tissues, exudates and intestinal contents from peristomal area and at the same
32 days at a constant pressure of 125 mmHg; the dressing was performed every 72 hours.
ent with drainage sheet and negative pressure made it possible to manage the peristomal mucosa exposed,
mic dehiscence without further complications; drainage sheet protected ansa avoiding the depletion and the
5 November 2012 First NPWT Dressing
Application of drainage film around bowel loop and inside to
undermining and tunnelling. Fill with PU foam and cover with
adhesive film. Connect to NPWT pump, apply continuos
November 2012 ( after 7 days of treatment)
ows wound after 2nd dressing change.
November 2012 (13 days of treatment)
Surgeon decided to re - approximate
Remains undermining. The dressing
was performed by applying “drainage
2 November 2013 (17 days of therapy)
After 5 dressing changes, laparotomic dehiscence
is almost completely healed. There still remains a
link with exposed loop.
0 November 2012 (25 days of therapy)
These pictures show wound during the 9th dressing
change. The laparotomic dehiscence is reduced a thin
tunnel, while undermining to stoma is completely closed.
The application of NPWT continues only with a PU Foam.
8 December 2012 ( Interrupted NPWT )
After 32 days of treatment and 10 dressing changes , this
was the result.
Complete healing was obtained after 10 days of collagen
mbined treatment with NPWT and drainage sheet :
to obtain fast wound healing ( ± 40 days).
to save the loop exposed, preventing complications
simultaneous management of wounds and ostomy.
es good quality of life to the patient.