Related Experiment Video
Updated: Jul 5, 2025
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Management of a Peristomal Abscess in a Patient With an Ileostomy: A Case Study
Huiyan Wei1,2,3,4, Jin Qiu1,2,3,4, Aini Li1,2,3,4
1Huiyan Wei, BSc, RN, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, China.
Insights
A modified 2-piece ostomy skin barrier effectively manages peristomal abscess wounds. This technique allows for wound care while maintaining a secure seal, preventing leakage and reducing barrier changes.
Area of Science:
- Wound care
- Ostomy management
- Surgical complications
Background:
- Peristomal abscess (PA) is a rare but difficult peristomal skin complication.
- PA treatment involves incision and drainage, creating a peristomal wound.
- This wound compromises ostomy skin barrier seal, leading to frequent changes and leakage.
Observation:
- A 52-year-old woman with an ileostomy developed a PA post-hemicolectomy.
- A modified 2-piece ostomy skin barrier was used.
- This allowed access to the peristomal wound for daily dressing changes while maintaining a seal.
Findings:
- The modified 2-piece skin barrier technique successfully managed the PA.
- This approach prevented frequent ostomy pouching system changes.
- It ensured a secure seal around the stoma despite the wound.
Implications:
- This technique offers a viable solution for managing peristomal wounds in ostomy patients.
- It improves patient quality of life by reducing leakage and frequent ostomy system changes.
- Further research into modified ostomy appliances for wound management is warranted.
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.
Related Concept Videos
01:24Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
01:30Irritable Bowel Syndrome III: Medical and Nursing Management