Stoma in the Surgical Wound: Difficult to Treat

Abstract

This paper presented case report of a 38-year-old woman who had long abdominal surgical incision with a transverse loop colostomy on the wound bed.  Building a dam bordered on a stoma was an effective method of wound management. Wound irrigation with normal saline; silver dressing; and then negative pressure wound therapy with suction devices at around 125 mm Hg were applied. Results showed that the wound healed faster, equipment costs were lowered, and cleansing time reduced by 1/4.  This meant that the workload of staffs in wound dressing was reduced.  Moreover, this technique increased patient satisfaction toward wound healing, reduced pain during wound dressing, reduced stress and anxiety, and increased comfort due to odorless and less soiling elimination.