This case study looks at the management a complex open abdominal wound

Submitted by: Jeanette Fingren RN ETN, Colorectal unit Sahlgrenska University Hospital, Östra, Göteborg, Sweden

Patient history

• A 65-year-old gentleman, diagnosed with a rectal cancer.

• Had an abdominal perineal excision of rectum and formation of a permanent colostomy.

• Developed a large parastomal hernia.

• Decision was made to repair the parastomal hernia and re-site the colostomy to the right-side of the abdomen.

• Developed a small bowel obstruction after surgery which required another laparotomy.

• The wound dehisced and the bowel protruded through the abdominal wall.

Care Management Plan

An eakin Wound Pouch^TM was used to collect the effluent from the high-output enterocutaneous fistula as it was the most cost-effective, clinically efficient and effective wound management option for the gentleman. eakin Wound Pouches^TM were selected as they can be used for large complex wounds and fistulas with no adverse effects such as secondary infection.

Outcome

• eakin Wound Pouch^TM efficient and effective.

• No adverse side-effects.

• Patient comfortable.

• Patient wellbeing maintained.

• Low-cost solution.