Tag: Enteric Fistula

Oregon Seminar: Complex Abdominal Wounds and Fistula Nightmares

Mary Anne Obst will present "Complex Abdominal Wounds and Fistula Nightmares: Tricks and Tips" October 19th in Medford, Oregon.  The seminar is at the Advanced Wound Care Conference of the Northwest Region of the WOCN.

Mary Anne is a Complex Abdomen Specialist at Regions Hospital in St. Paul, Minnesota.  She will teach participants various approaches to promote quality of life while targeting surgical repair when applicable. She will also share unique methods for managing complex abdominal wounds and enterocutaneous fistulas.

Click here for conference information.

Stop Pouch Attachment Leakage

Leaks can happen at the interface of a pouch appliance and Fistula Solution device.  Usually leaks are because the pouch opening is cut too small or because of poor pouch adhesion.

The goal is to direct ALL effluent into the pouch appliance with no leaks.  These technique tips will help assure success.

Drop x

Click here for a detailed pouching video that demonstrates these technique tips.

1. Add a thin ostomy barrier ring to the top flange of the of the Fistula Solution device.  This landing zone is where the high output ostomy pouch or wound manager will be placed.

Pouch 1

2. Cut the opening in the high output ostomy pouch or wound manager generously.  Make the opening diameter about 1 cm larger than the Fistula Solution device opening.  Then place the pouch appliance on the landing zone.

Pouch 2

3. Bridge the gap between the opening of the pouch appliance and the landing zone with another ostomy barrier ring.  A barrier ring can be cut and applied in segments as shown in the image to the right.

Work the pouch appliance into the barrier rings. Have the patient lay quietly for 30 minutes or more to allow the pieces to warm up and adhere to each other.

Pouch 3

These technique tips can help stop leaks from happening at the interface of the pouch appliance and Fistula Solution device, and ensure all effluent goes into the pouch where it belongs.

Free Webinar on Comprehensive Management of Digestive Tract Fistulas

Mary Anne Obst, RN, CWON, CCRN, presents in this free recorded webinar that will increase your knowledge of enteric fistulas and their management. This informative program will give you practical insights into assessing the patient with an enteric fistula.  Mary Anne will also cover the medical, surgical, and wound care strategies that can help optimize patient outcomes.

Click here to view the webinar.

Sharing her clinical expertise as a complex abdomen specialist, Ms. Obst will outline the risk factors associated with enteric fistulas and the preventive measures that may help reduce complications.  Critical factors for successful fistula management and closure will be covered.  Mary Anne will also discuss specific wound care principles and the application of the "pinch test" as the gateway to surgical readiness.

Fistula Training with the thumbroll App

The free thumbroll app has a new step-by-step training module on Enteroatmospheric Fistula Wound Management.  Simply download it from the App Store or Google Play and start learning.

The fistula module is in the General Surgery section of the app.  thumbroll uses real images to show how to use the Wound Crown in detailed steps, making it easily digestible.  Learn at your pace as you scroll through each step of the process.

thumbroll is like a visual checklist. Content is broken down to the component steps, allowing you to just see what is necessary to learn the material.

thumbroll is a free learning tool for all medical trainees and professionals worldwide and it is available for iOS & Android.

For more information:

  • facebook.com/thumbrollmed
  • instagram.com/thumbroll
  • youtube.com/c/thumbrollmedical

Washington D.C. Symposium: Innovative Options for Complex Wounds and Fistula Management

KCI An Acelity Company is sponsoring a breakfast symposium focusing on: “New Advances in Challenging Wound Care: Examining the Evidence and Discussing the Cases” at the Abdominal Wall Reconstruction Conference in Washington D.C. on June 8th. The session features presentations on new therapies from Vedra Augenstein, MD, Luis Fernandez, MD, and Mary Anne Obst, RN.

This presentation begins at 8:30 AM on June 8th at the Grand Hyatt Washington.

Register for this event at www.awrconference.com.

SAWC Spring 2019 – Surviving an Enteric Fistula: The Reality for the Patient and Care Providers

Mary Anne Obst, Complex Abdomen Specialist at Regions Hospital in St. Paul, Minnesota, will present “Surviving an Enteric Fistula: The Reality for the Patient and Care Providers” at SAWC Spring 2019. The presentation is Session 22 on May 9th at 9:15 AM.

Mary Anne will discuss the life changing physical and emotional trauma that some patients experience when a fistula develops. The leakage, odor and skin destruction, and depression can lead to physical and emotional pain that is unbearable. Caregivers suffer as well in terms of frustration with management problems and inability to “make it better” for the patient with the condition. This session will demonstrate pouching techniques using negative pressure wound therapy to contain the drainage, skin management to reduce the discomfort, and pouching tips for keeping the patient clean, dry, and comfortable during this trying time.

Visit the SAWC Spring 2019 website to see the full conference agenda.