The benefits of topical negative pressure wound therapy in treating severe peristomal skin trauma: A case study.

This case study outlines the management of the peristomal skin complications encountered in an obese patient who developed a highoutput ileostomy, following an anterior resection for perforated diverticular disease. Factors such as large skin creases, a retracted stoma, lumen below skin surface, deh...

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Publicado en:Journal of Stomal Therapy Australia Vol. 37; no. 4; pp. 13 - 18
Autor principal: Vickers, Kelly
Formato: case study pictorial Journal Article
Publicado: Cambridge Publishing Dec2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Cambridge Publishing
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        atl: The benefits of topical negative pressure wound therapy in treating severe peristomal skin trauma: A case study.
      aug:
        au: Vickers, Kelly
        affil: Registered Nurse, Stomal Therapy Nurse, Nurse Consultant Lyell McEwin Hospital, Elizabeth Vale, SA
      sug:
        subj:
          Negative Pressure Wound Therapy
          Ostomy Adverse Effects
          Dermatitis Therapy
          Wounds and Injuries Therapy
          Treatment Outcomes
          Female
          Middle Age
          Ostomy
          Ileostomy
          Postoperative Complications
          Quality of Life
          Administration, Topical
          Middle Aged: 45-64 years
          Female
      ab: This case study outlines the management of the peristomal skin complications encountered in an obese patient who developed a highoutput ileostomy, following an anterior resection for perforated diverticular disease. Factors such as large skin creases, a retracted stoma, lumen below skin surface, dehydration, electrolyte disturbances and time-consuming appliance changes made the care more difficult, requiring innovative treatment planning. Peristomal skin trauma from erosion and faecal moisture-associated dermatitis, by definition is a wound, so implementing topical negative pressure wound therapy (TNPWT) could ideally promote its healing and improved patient outcomes. This case study describes how applying TNPWT, in this case KCI vacuum-assisted closure (VAC®), to complex peristomal skin trauma not only initiated the healing process but also improved the quality of life of a woman exhausted by her clinical conditions.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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