Techniques: Complex Wounds and Fistulas
Click here to go to the Complex Wounds and Fistulas website for practical “Here’s how I do it” fistula management techniques.
Techniques: Decision Framework for Enteric Fistula Management
Click here to download the enteric fistula decision making framework poster presentation from WOCNext 2022. This framework can help providers determine the appropriate therapy when faced with a challenging enteric fistula.
Techniques: Surgical Reconstruction of Peri-fistula/stomal Soft Tissue: Revise, Isolate, Skin Graft, Pouch (RISP)
Click here to download the RISP poster presentation from SAWC Fall 2021. In some situations, the soft tissue around a fistula or ostomy makes it impossible to apply a pouch and contain effluent. The purpose of RISP (Revise, Isolate, Skin graft, Pouch) is to transition the patient to a standard, easy-to-apply ostomy appliance.
Techniques: Isolation of Enteric Fistulas to Allow Adjacent Skin Graft Placement
This downloadable case study poster from SAWC 2020 Virtual illustrates a new technique to manage intestinal effluent during the placement of skin grafts or artificial skin substitutes onto nearby wounds. Skin grafting around enteric fistulas and ostomies may allow providers to transition patients to standard ostomy appliances.
You may also click here to hear the poster presentation.
Techniques: Application of an Elastomeric Skin Protectant in Periwound Care and the Use of Customizable Isolation Devices for Fistula Management
View the poster presentation Evaluating the Application of an Elastomeric, Advanced Skin Protectant in Periwound Care and the Use of Customizable Isolation Devices for Fistula Management from 2021 WoundCon Summer. In the cases presented, modalities for fistula isolation and stoma management were integral to recovery with special attention toward periwound care.
Techniques: Stop Pouch Attachment Leakage
Leaks can happen at the interface of a pouch appliance and Fistula Solution device. The goal is to direct all effluent into the pouch appliance with no leaks. These technique tips will help assure success. Visit our "how-to" post or watch this video.
Techniques: Belted Ostomy Pouch with Fistula Solution Devices for Difficult Perifistula
Using a belted ostomy pouch with Fistula Solution devices can be a good effluent management option in cases when perifistula creases or scars make adhesive pouching difficult or when ostomy pouches will not adhere to denuded and weeping peristomal skin. Visit our "how-to" post.
Techniques: Contain High-output Fistula and Ostomy Effluent
Managing effluent from a high-output fistula or ostomy can be a challenge. This technique can be helpful for managing high volumes of effluent. Visit our "how-to" post.
Techniques: Stabilize PEG Tubes and Wound Drains with the Fistula Funnel to Reduce Insertion Site Leakage
Gastric fluid leakage or wound drainage around around medical tubes can cause skin irritation, infection, reduced healing times, and general patient discomfort. The Fistula Funnel can be used to stabilize tubes to reduce tube pressure on the insertion site and the resulting leakage. Visit our "how-to" post.
