Abstract

The use of negative-pressure wound therapy (NPWT) has become the new standard of care for complex wounds. NPWT with instillation (NPWTi) has been shown to assist wound progression in a variety of wound types in an acute hospital setting with increased progression toward healing. We present the case of a 70-year-old male with Crohn's disease, who had post-operative life-threatening complications following hernia repair. His complex abdominal wound and a high-output fistula required the assistance of an entire clinical team.The multidisciplinary team's approach toward the patient was equivalent to the team's approach to the complex wound: "All Hands On Deck!" The cornerstone of our management was NPWT, specifically NPWTi. Instillation therapy was initiated. Complex foam application and innovative strategies to keep a grossly contaminated wound from becoming the final straw to a patient's demise appeared our greatest challenge.NPWTi was utilized and optimized, where every type of foam, bridge, and securement was needed to gain success. This patient's progress could be wholly attributed to the commitment and experience of a group of care providers who were led by their knowledge and experience in NPWT in the most challenging circumstances.

Highlights

  • We present a case study of a 70-year-old male with an enterocutaneous fistula resulting from post-operative complications following incarcerated hernia repair

  • The continuum of care could be addressed with the continuum of Negative-pressure wound therapy (NPWT) by transitioning therapies from NPWT with instillation (NPWTi)-d with ROCF-CC dressing to ROCF-V (V.A.C VERAFLO Dressing, KCI, An Acelity Company) to NPWT with Granufoam Dressing (KCI, An Acelity Company) to NPWT incisional management with Prevena or Prevena Plus, Dressing (KCI, An Acelity Company) [1,2,3]

  • NPWT is used in all care settings

Read more

Summary

Introduction

Negative-pressure wound therapy (NPWT; V.A.C. Therapy, KCI, An Acelity Company, San Antonio, TX, USA) is a disruptive technology that has changed the standard of care for the treatment of complex wounds. When used with novel dressings such as reticulated open-celled foam with through holes (ROCF-CC; V.A.C. VERAFLO CLEANSE CHOICE Dressing, KCI, An Acelity Company), the combination facilitates the removal of thick exudates and infectious materials, such as fibrin and slough, providing a wound-cleansing option for clinicians when surgical debridement must be delayed or is not possible or appropriate [1,2,3]. We present a case study of a 70-year-old male with an enterocutaneous fistula resulting from post-operative complications following incarcerated hernia repair

Objectives
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call