EP126 VALUE OF EARLY COLOSTOMY IN PERINEAL WOUNDS...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy
Aim: value of early colostomy creation in cases of badly infected perineal wounds and necrotizing fasciitis cases (commonly seen in immunocompromised status). Method: over the last 2 years (period from February 2014 till March 2016) we had 10 patients with serious badly infected perineal wounds had...
| Publicado en: | Journal of Wound Management Vol. 24; no. 2; p. 101 |
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| Autor principal: | |
| Formato: | abstract proceedings research Journal Article |
| Publicado: |
Cambridge Publishing
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164968840&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164968840 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27885771 MZEQ jtl: Journal of Wound Management issn: 27885771 maglogo: N pubinfo: dt: Jul2023 vid: 24 iid: 2 pid: 66266 pub: Cambridge Publishing artinfo: ui: 164968840 164968840 164968840 164968840 ppf: 101 ppct: 0 formats: fmt: @attributes: type: P tig: atl: EP126 VALUE OF EARLY COLOSTOMY IN PERINEAL WOUNDS...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy aug: au: Abdulateef, Mohammed affil: National Guard Hospital In Dammam, General Surgery, Alkhobar, Saudi Arabia sug: subj: Colostomy Perineum Injuries Early Intervention Immunocompromised Host Treatment Outcomes Congresses and Conferences Italy Italy ab: Aim: value of early colostomy creation in cases of badly infected perineal wounds and necrotizing fasciitis cases (commonly seen in immunocompromised status). Method: over the last 2 years (period from February 2014 till March 2016) we had 10 patients with serious badly infected perineal wounds had diversion colostomy to minimize septicaemia, ARDS, renal and other complications. This was reviewed retrospectively versus severe cases which were managed without early colostomy. Double barrel sigmoid colostomy was commonly used in most cases (end colostomy was performed in one case only). Colostomy should be properly placed, well fitted with no leak around to prevent excoriation and soiling of the surrounding skin (pictures included). Results / Discussion: Of cases of severe heavily infected necrotic wounds following incision and drainage of abscesses around the anus and perineal areas we noticed that cases where early colostomy was performed had a much better outcome with rapid healing and less complication. (One of the cases of Fournier's gangrene was following simple haemorrhoidectomy!!). Enriched diet with high protein could be commenced early for these patients to improve their nutritional status with no fear of soiling. Patient and his family should be prepared psychologically for the long-term management plan and repeated surgical intervention before closure colostomy. Conclusion: Early diversion colostomy in cases of severe badly infected perineal wounds and necrotizing fasciitis may have a significant and dramatic effect on prognosis, rapid healing and less complication when it is done in the proper time without hesitancy. Patient should be prepared for a long-term management plan from all medical, surgical, psychological and social aspects. pubtype: Academic Journal doctype: abstract proceedings research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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