IntroductionIn some clinical scenarios, stoma site may be located close to the abdominal
wound edge impeding optimal
wound management and stoma care. We present a novel strategy of utility NPWT for management of simultaneous abdominal wound healing with stoma presence. Material and methodsRetrospective analysis of seventeen patients treated with a novel
wound care strategy was conducted. Application of NPWT within
wound bed, around stoma site and skin between allows for: 1) separating
wound from stoma site, 2) maintaining the optimal environment for wound healing, 3) protecting peristomal skin and 4) facilitating application of
ostomy appliances.ResultsThe study group comprised of twelve female (70,6 %) and five male (29,4%) with the mean age of 49.1 18.4 years The most common underlying pathology was
Crohn s disease (n-5; 29,4%). Since NPWT was implemented, patients had undergone from 1 to 13 surgeries. Thirteen patients (76,5%) required intensive care unit admission. The mean time of
hospital stay was 65,3 28,6 days (range: 36 134). The mean session of NPWT was 10.8 5.2 (range: 5 - 24) per patient. The range of the level of negative pressure was from -80 to 125 mmHg. In all patients, progress in wound healing was achieved resulting in granulation tissue formation, minimizing
wound retraction and thus reduction of the
wound area. As a result of NPWT,
wound was granulated entirely, tertiary intension closure were achieved or patients were qualified for reconstructive surgery.DiscussionNPWT is safe and useful
therapy for complicated abdominal
wounds with the presence of stoma close to
wounds edges. A novel care strategy allows for simultaneous technical opportunity to separate stoma from
wound bed and facilitate wound healing.