chappy34

Currently treating a 9 year old with hepatic embryonal sarcoma and open wound with enterocutaneous fistula that has stomatized in a 3rd of it (RUQ measuring 5cm x 2.5cm following rib line). Now it has stopped draining from the stomatized fistula portion and is draining by the superior skin edge. (Argh!) He is constantly leaking and we have to manage skin breakdown constantly. We use crusting method, several Eakin's rings to protect good skin, medical adhesive spray, and a Eakin wound manager. Any other suggestions or products that have been used that we can try. If we make it 2 days without leaking, we celebrate. Thank you all for any help!!!!

Thank you so much for your feedback!!

Hello, I am curious about the Prevena incisional VAC by KCI/Acelity. I've been doing some research regarding its effectiveness of prevention of post-surgical complications (which appears to need more studies). Does anyone have personal experience with this VAC or that can offer any information if they use this on high-risk patients at their facility? Thank you!

If you're an MD, have you considered sharp debridement? Or referring patient to one that can debride it? This will quickly get rid of the slough instead of the very slow process of santyl or other dressings that allow for autolytic debridement. Less slough equals less food for bacteria. If you go the santyl route make sure you cross-hatch the slough to get better results. Above all, hope you can keep her out of pain...

I am wondering if the Continence portion of the WOCN certification is necessary. I heard that the continence portion isn't used as much by these nurses. Anyone able to shine some light on this subject? I know being a WOCN is the gold standard but I wonder if being a WON is a close silver finish? Thanks!