Techniques

001 Pouch Flange Sandwich to Stop Leaks

Click here to see a demonstration of the pouch flange sandwich technique, which is used to form a superior seal around an ostomy pouch or wound manager to prevent leaks and Moisture Associated Skin Damage (MASD). This method can be used to secure a pouch or wound manager to the skin around a fistula or ostomy, or to a fistula isolation device. This technique is particularly helpful when a fistula bag keeps leaking and in cases of frequent ostomy pouch leaks.

002 Hybrid Dressing to Downsize Ostomy Pouches

Click here for the the hybrid pouch dressing technique, which can help reduce the size of the ostomy pouch or wound manager needed in cases where a fistula or ostomy is adjacent to a wound. This method can be used to form a stable pouch landing area and contain intestinal effluent while treating the wound area with advanced wound dressings.  This technique has the potential to reduce the size and associated cost of ostomy pouches and wound managers.

003 Dressing Change Checklist

Click here to learn about the dressing change checklist, which is an important tool for successful and efficient dressing changes. Ensuring the patient is prepared for their change and having all the right dressing materials on hand is the recipe for success.

003 Dressing Change Checklist Download

Click here to download an example Dressing Change Checklist which may be a helpful reference when creating your own protocol.

004 Fistula and Ostomy Isolation with the Wound Crown

Click here to learn about the Wound Crown, which can be used to compress the surface of the body around an enteric fistula, stoma, or drain to seal and protect the skin from effluent.

005 Small Fistula Isolation with the Fistula Funnel

Click here to learn about the Fistula Funnel, which can be used to form a seal around smaller fistulas and ostomies, as well as medical tubes such as a fecal management system, urinary catheter or leaking PEG tube.

006 Sidewall Fistulas

Sidewall fistulas are challenging to manage but they can be isolated using the Wound Crown or Fistula Funnel. Click here to learn more.

008 Multiple Fistula Isolation with the Isolator Strip

Click here to learn about the Isolator Strip, which is often used to create a curved or linear barrier. It can also be used to form a barrier ring around a group of fistulas.

009 Perineal Wound and Burn Management

This technique can help providers manage burns and wounds to the perineum and may avoid surgical diversion with an ileostomy or colostomy.

010 Leakproof VAC Ulta Pump Setup for Instillation

This introductory session includes dressing decision making, an overview of the VAC Ulta pump and basic step-by-step setup instructions to help leakproof vacuum dressings for Negative Pressure Wound Therapy (NPWT) with fluid instillation.

011 Advanced Leakproof VAC Ulta Pump Setup for Instillation

This follow up to the 010 Ulta Pump Setup introductory session offers step-by-step instructions for starting the pump in the VAC phase instead of the default instill phase.

012 Abdominal Wound Leakproof VAC with Instillation

Click here to learn about the use of Negative Pressure Wound Therapy with instillation for abdominal wounds.  Successful application requires knowledge of the structures under the wound and attention to detail in dressing preparation and placement.

013 Sacral Wound Leakproof VAC with Instillation

Click here to learn about the use of Negative Pressure Wound Therapy with instillation for sacral wounds. Placement of instillation ports and negative pressure bridging are key to success.

014 Perineal Wound Leakproof VAC with Instillation

This session offers step-by-step instructions to help leakproof perineal VAC dressings for fluid instillation.

015 Direct Peritoneal Resuscitation (DPR)

Direct Peritoneal Resuscitation (DPR) has been used for complex open abdomen patients and can help reduce time to abdominal closure, increase rates of facial closure, decrease ICU severity, and reduce risk of fistula formation.  Click here to view this session.

016 Sacral Wounds with Blue Fused Dressing and Smart Instill

This session includes cases using the blue Cleanse Choice Complete dressing and a step-by-step sacral dressing demonstration using the Ulta pump with Smart Instill feature.

017 Taco Technique with Blue Fused Instillation Dressing

This session demonstrates the Taco Technique for deep wounds using the blue Cleanse Choice Complete dressing.

018 Extremity Wounds with Blue Fused Instillation Dressing

This session demonstrates techniques for extremity wounds using the blue Cleanse Choice Complete dressing.

019 Fixing Blockage Alerts for VAC with Fluid Instillation

Click here for straightforward fixes for blockage alerts that happen when using VAC dressings with fluid instillation.

020 Wound Crown High Output Fistula Case

Click here for a demonstration using the Wound Crown for a high output enteric fistula. The case features step-by-step dressing assembly while managing unpredictable effluent flows and important technique tips to prevent leaks and dressing failures.

021 Below Knee Amputation Incision Management

Click here for a Prevena incision management device overview and example placements on a below the knee amputation incision.

026 RISP: Revise, Isolate, Skin Graft, Pouch

Click here for a demonstration of the RISP surgical technique to reconstruct peri-stomal and peri-fistula soft tissue for sidewall and hidden fistulas and retracted ostomies.

026 RISP: Surgical Reconstruction of Peri-fistula/stomal Soft Tissue

Click here to download the RISP poster presentation from SAWC Fall 2021. In some situations, the soft tissue around a fistula or ostomy makes it impossible to apply a pouch and contain effluent. The purpose of RISP (Revise, Isolate, Skin graft, Pouch) is to transition the patient to a standard, easy-to-apply ostomy appliance.

Education

Decision Framework for Enteric Fistula Management (2022)

Click here to download the enteric fistula decision making framework poster presentation from WOCNext 2022. This framework can help providers determine the appropriate therapy when faced with a challenging enteric fistula.

Challenges of Necrotizing Soft Tissue Infections (2022)

Click here to download the Necrotizing Soft Tissue Infection (NSTI) clinical decision making poster presentation from SAWC Spring 2022. NSTI is characterized clinically by fulminant tissue destruction, systemic signs of toxicity, and high mortality. Rapid diagnosis, patient transfer to a tertiary center and wide debridement improve chances of survival.

Skin Graft Site Preparation for Soft Tissue Injury (2021)

Click here to download the necrotizing soft tissue injury poster presentation from SAWC Fall 2021. This presentation shares outcomes for patients who received a synthetic biodegradable temporizing matrix to temporarily close the wound and aid the body in generating new tissue in preparation for a skin graft after devastating loss of skin.

Enteric Fistula: Is Management in South Africa and the U.S. the Same? (2022)

Click here to log in and view this session from WOCNext 2022, which provides holistic, global approaches comprehending skin and sepsis, nutrition, patient anatomy, and surgical procedures for the fistula patient population.

Principles of Enteric Fistula Management (2021)

Click here to view this session from the 2021 Stepping Stones to Excellence in Wound Care Conference, which covers assessment and classification of the enteric fistula patient, medical management, wound care best practices and surgical revision and skin grafting. 1.0 CE credit available.

The management and prevention of infection focused on surgical wounds (2022)

Click here to view this session from Wounds Week 4, which discusses the identification and management of postoperative incisional infections, enteric fistulas, wound dehiscence, and the options for management of these serious patient conditions.

Leveraging Innovation to Optimize Success with Negative Pressure Wound Therapy with Instillation (2022)

Click here to take this free one credit course which is designed for surgeons and wound care professionals who manage wounds in the acute care setting. 1.0 CE credit available.

Challenges of Complex Wound Care (2021)

Click here to view this session from the 2021 Stepping Stones to Excellence in Wound Care Conference, which covers the challenges associated with healing complex wounds. 1.0 CE credit available.

Fistula Solution Knowledge Center

Click here for a comprehensive archive of fistula management literature, tools and techniques.

Interviews

Minnesota trauma nurse joins team who saved his life (2021)

See the story of a fistula survivor who is following in the footsteps of his complex wound and fistula nurse.

The Frank & Lizzie Show (2021)

See the pilot episode of The Frank & Lizzie Show with special guest Mary Anne Obst, RN, CWON, CCRN. This morning talk-show style channel features clinicians and products within the wound care community. Mary Anne highlights her work as an innovator with Fistula Solution®.