医学
回肠造口术
脓肿
外科
伤口护理
并发症
普通外科
皮肤病科
作者
Huiyan Wei,Jin Qiu,A M Li,Hongyang Hu
出处
期刊:Journal of Wound Ostomy and Continence Nursing
[Ovid Technologies (Wolters Kluwer)]
日期:2024-01-01
卷期号:51 (1): 74-77
标识
DOI:10.1097/won.0000000000001047
摘要
BACKGROUND: Peristomal abscess (PA) is an uncommon but challenging peristomal skin complication. The initial treatment of the PA usually includes incision and drainage of the abscess, resulting in a peristomal wound. The presence of the wound makes it difficult to maintain a seal between the ostomy skin barrier and the peristomal skin resulting in frequent removal and application of the skin barrier to prevent leakage and allow for daily wound care. CASE: Ms T was a 52-year-old woman with an ileostomy resulting from a prior left hemicolectomy for colon cancer who developed a PA. Treatment of the PA was implemented, along with a modified 2-piece skin barrier that allowed access to the peristomal wound for daily dressing changes while maintaining a seal around the ostomy. CONCLUSION: The modified 2-piece skin barrier technique proved a successful treatment for the management of the PA without frequent changes of the ostomy pouching system.
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