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Related Experiment Video

Updated: Jul 3, 2026

A Simplified Technique for Producing an Ischemic Wound Model
12:00

A Simplified Technique for Producing an Ischemic Wound Model

Published on: May 2, 2012

Isolating 2 Connected Wounds With the Paste Cork Technique: A Case Study.

Elizabeth Claire Stipek1

  • 1Elizabeth Claire Stipek, BSN, RN, CWON, John Peter Smith Hospital, Fort Worth, Texas.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|July 1, 2026
PubMed
Summary

A novel Paste Cork Technique effectively isolated fecal contamination from two connected wounds in a complex trauma case. This method, combining negative pressure wound therapy (NPWT) with ostomy paste, promoted wound healing and allowed for fistula and ostomy closure.

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Area of Science:

  • Surgical Case Study
  • Wound Healing Research
  • Ostomy Management

Background:

  • Fecal contamination from fistulae significantly impedes wound healing, particularly with multiple fecal sources.
  • Complex cases involving interconnected wounds and fecal drainage present significant challenges to patient recovery.
  • Comorbidities like malnutrition and diabetes exacerbate healing difficulties, necessitating advanced containment strategies.

Purpose of the Study:

  • To describe a novel technique for managing fecal contamination in complex, interconnected wounds.
  • To present a case study illustrating the application of the Paste Cork Technique.
  • To highlight the importance of effective stool isolation in promoting wound healing.

Main Methods:

  • Developed and implemented the Paste Cork Technique, utilizing negative pressure wound therapy (NPWT) combined with ostomy paste.
Keywords:
FistulaIsolationNegative pressure wound therapyOstomyPaste Cork TechniqueStoma

Related Experiment Videos

Last Updated: Jul 3, 2026

A Simplified Technique for Producing an Ischemic Wound Model
12:00

A Simplified Technique for Producing an Ischemic Wound Model

Published on: May 2, 2012

  • Applied the technique to isolate a coloatmospheric fistula and a recessed ostomy in a patient with a frozen abdomen.
  • Successfully managed effluent and prevented contamination despite peristaltic expulsion of a rectal tube and viscous, debris-laden output.

    • Main Results:

    • The Paste Cork Technique successfully isolated two connected wounds, preventing fecal contamination for 2-3 day intervals.
    • Accurate monitoring of wound output was consistently achieved.
    • The technique remained effective even after instances of stool leakage.

    Conclusions:

    • Effective stool isolation is crucial for managing complex wounds with fecal drainage.
    • The Paste Cork Technique, integrating NPWT and ostomy paste, provides a viable solution for fecal containment.
    • This approach expedited complete wound healing and facilitated successful fistula and ostomy takedown.