When pouching is no longer a workable solution for complex fistula and ostomy patients, isolation with Negative Pressure Wound Therapy or other methods may provide a more effective approach to effluent management.
Containing high-output effluent with wound managers or ostomy pouches can be particularly challenging in patients with peristomal wounds, retracted stomas, or sidewall fistulas. When anatomy is irregular, recurrent leaks and frequent pouch changes can become frustrating for both patients and providers.
At that point, the question becomes: Is this the right strategy?
Isolation as a Structured Alternative
Isolation separates effluent from surrounding tissue, allowing it to be contained and controlled more effectively.
This shift in approach can:
- Increase dressing wear time from hours to days
- Improve effluent control
- Reduce maceration and periwound skin breakdown
- Protect grafts and surgical reconstruction sites
- Decrease provider time spent managing leaks and dressing changes
Where Fistula Solution Fits
Devices such as the Wound Crown® are designed specifically for complex anatomical scenarios. They support isolation in:
- Sidewall or retracted fistulas
- Irregular abdominal contours
- Situations requiring protection of grafted or compromised tissue
For more information on isolation options in complex fistula management, contact Fistula Solution info@fistulasolution.com.