The article by Trevino, Verhaalen, Bruce, and Webb “Conversion of an Enerocutaneous Fistula Associated With an Open Abdominal Wound Into a Drain-controlled Enerocutaneous Fistula” explains the complications that can possibly arise with a fistula in an open abdominal wound where the intestines are visible. It also explains how the medical team was able to treat this unique and complex situation. Open abdominal wounds present the physicians and surgeons with many problems. These challenges include the patient’s comfort, healing time, and the possibility of further illness or complications. This article describes the patient’s difficult situation and the success the medical team had in treating the open abdominal fistula effectively and quickly.
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The article also explains that the use of a negative pressure system in addition to a Jackson Pratt drainage system the patient was able to have a significantly lower healing time. She also did not suffer from additional complications that typically arise in these types of wounds. Open abdominal wounds, where the organs are exposed, present as such a difficult situation due to the high risk of infection and the considerably slow healing times. These are major concerns in healthcare clinics today. In this situation, the use of negative pressure system used in conjunction with the Jackson Pratt drainage system alleviated the concern of the bacteria possibly traveling outside the fistula, as well as the potential for sepsis. The open fistula was able to fully heal because the infected drainage was routed away from the open wound due to an optimal healing environment provided by the continuous use of suction from the negative pressure system (Trevino et al., 2014). Decreasing wound healing time is important in the clinical setting for several reasons. The challenge with the majority of these wounds is the amount of time it takes to heal, the amount of pain and discomfort that patients experience with a prolonged wound healing time, as well as the additional expenses the patient incurs from the treatments. By using this type of wound care the medical staff was able to utilize the best standards of care for this patient. This also gave the medical team additional insight for other patients experiencing these types of abdominal
The article also explains that the use of a negative pressure system in addition to a Jackson Pratt drainage system the patient was able to have a significantly lower healing time. She also did not suffer from additional complications that typically arise in these types of wounds. Open abdominal wounds, where the organs are exposed, present as such a difficult situation due to the high risk of infection and the considerably slow healing times. These are major concerns in healthcare clinics today. In this situation, the use of negative pressure system used in conjunction with the Jackson Pratt drainage system alleviated the concern of the bacteria possibly traveling outside the fistula, as well as the potential for sepsis. The open fistula was able to fully heal because the infected drainage was routed away from the open wound due to an optimal healing environment provided by the continuous use of suction from the negative pressure system (Trevino et al., 2014). Decreasing wound healing time is important in the clinical setting for several reasons. The challenge with the majority of these wounds is the amount of time it takes to heal, the amount of pain and discomfort that patients experience with a prolonged wound healing time, as well as the additional expenses the patient incurs from the treatments. By using this type of wound care the medical staff was able to utilize the best standards of care for this patient. This also gave the medical team additional insight for other patients experiencing these types of abdominal