สาระความรู้ CoP แผลและออสโตมี (Wound and Ostomy)
Complexity management in Abdominal wound Dehiscence and EAF

Namtip Wongsaroj,
Supanida Chaichit,
Vimalux Chaisakchatree
Siriraj Hospital, Mahidol University, Thailand

Wound dehiscence is mechanical failure of wound healing and when combine with Enteroatmospheric have a lot of effluent, skin separation, painful, peristomal skin lesion. There are challenging to find management. Their etiology is complex and range from persistent abdominal infection and the problematic become the effluent drain directly onto dehiscence wound failure to control although foley’s catheter or nasogastric tube and pouching are applied to isolation of effluent from the wound bed to promote wound healing and assisted in dressing adherence. But it had to be changed or repair multiple time per day. The leakage of effluent at basement of pouching lead to skin irritation and wound not healed.

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