{"title":"Management of a Peristomal Abscess in a Patient With an Ileostomy: A Case Study.","authors":"Huiyan Wei, Jin Qiu, Aini Li, Hongyang Hu","doi":"10.1097/WON.0000000000001047","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Peristomal abscess (PA) is an uncommon but challenging peristomal skin complication. The initial treatment of the PA usually includes incision and drainage of the abscess, resulting in a peristomal wound. The presence of the wound makes it difficult to maintain a seal between the ostomy skin barrier and the peristomal skin resulting in frequent removal and application of the skin barrier to prevent leakage and allow for daily wound care.</p><p><strong>Case: </strong>Ms T was a 52-year-old woman with an ileostomy resulting from a prior left hemicolectomy for colon cancer who developed a PA. Treatment of the PA was implemented, along with a modified 2-piece skin barrier that allowed access to the peristomal wound for daily dressing changes while maintaining a seal around the ostomy.</p><p><strong>Conclusion: </strong>The modified 2-piece skin barrier technique proved a successful treatment for the management of the PA without frequent changes of the ostomy pouching system.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 1","pages":"74-77"},"PeriodicalIF":1.7000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Wound Ostomy and Continence Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/WON.0000000000001047","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Peristomal abscess (PA) is an uncommon but challenging peristomal skin complication. The initial treatment of the PA usually includes incision and drainage of the abscess, resulting in a peristomal wound. The presence of the wound makes it difficult to maintain a seal between the ostomy skin barrier and the peristomal skin resulting in frequent removal and application of the skin barrier to prevent leakage and allow for daily wound care.
Case: Ms T was a 52-year-old woman with an ileostomy resulting from a prior left hemicolectomy for colon cancer who developed a PA. Treatment of the PA was implemented, along with a modified 2-piece skin barrier that allowed access to the peristomal wound for daily dressing changes while maintaining a seal around the ostomy.
Conclusion: The modified 2-piece skin barrier technique proved a successful treatment for the management of the PA without frequent changes of the ostomy pouching system.
背景：肛周脓肿（PA）是一种不常见但具有挑战性的肛周皮肤并发症。肛周脓肿的初始治疗通常包括切开和引流脓肿，从而造成肛周伤口。由于伤口的存在，造口皮肤屏障和肛周皮肤之间难以保持密封，因此需要经常去除和使用皮肤屏障，以防止渗漏并进行日常伤口护理：T 女士是一名 52 岁的女性，因结肠癌接受过左半结肠切除术而进行了回肠造口术，并出现了 PA。在对 PA 进行治疗的同时，还使用了改良的两片式皮肤屏障，该屏障允许进入肛周伤口进行日常换药，同时保持造口周围的密封：结论：经改良的两片式皮肤屏障技术证明是治疗 PA 的成功方法，无需频繁更换造口袋系统。
期刊介绍：
The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care.
The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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