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 Pouch Dressing to Downsize Your 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.Ā  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 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 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.

Education

Surgical Reconstruction of Peri-fistula/stomal Soft Tissue: RISP (2021)

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.

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.

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.

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.

Planning for an Open Abdomen: Strategies and Best Practices to Increase Efficiency and Decrease Readmissions (2020)

Click here to take this free one credit course which is designed for physicians, nurse practitioners, physician assistants, nurses, physical therapists, and other allied healthcare professionals involved in the surgical closure or prevention and management of wounds.

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 SolutionĀ®.