Evaluation of Leakage Management and Skin Care by Improved Homemade Mobile Vacuum Sealing Drainage Device for Enterocutaneous Fistula Patients_West China Medical Journal

Authors：

 LIUChun-juan ¹ , YINYi-qiong ¹ , QINQing-mei ¹ , WENYue ¹ ,  NINGNing ²

1. Gastrointestinal Center Ward, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NINGNing, Email: gkningning@163.com

Keywords：

Intestinal fistula; Nursing care; Vacuum sealing drainage

DOI：

10.7507/1002-0179.20150211

Video：

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Objective To explore the leakage management and skin care by improved homemade portable vacuum sealing drainage device used for enterocutaneous fistula, in order to solve such confusing problems as leakage collection and nursing for patients with inconvenient activity. Methods The homemade portable vacuum sealing drainage device was made by using hydrophilic fiber of silver ion antimicrobial dressings, leak-proof strings, skin protective film, transparent patches, sputum suction tube, bottle of portable infusion, and negative pressure drainage bottle. Between January 2011 and September 2013, patients with enterocutaneous fistula admitted into our hospital were divided into traditional treatment group and portable vacuum sealing treatment group according to the admission time, and traditional center negative pressure suction treatment and portable negative pressure drainage method were used respectively for the two groups of patients. We verified the effect of the mobile vacuum sealing drainage device through comparing these two groups in terms of wound healing time, redness, burst and impregnation of the skin. Results The wound healing time was significantly shorter for patients in the portable vacuum sealing drainage treatment group (P<0.05), and patients in this group also had a lower occurrence of skin redness, impregnation and burst. Conclusion Homemade portable negative pressure drainage device for enterocutaneous fistula patients can reduce the incidence of skin complications such as redness, impregnation and burst, promote patients' activity, and reduce the patients' pain.

Citation： LIUChun-juan, YINYi-qiong, QINQing-mei, WENYue, NINGNing. Evaluation of Leakage Management and Skin Care by Improved Homemade Mobile Vacuum Sealing Drainage Device for Enterocutaneous Fistula Patients. West China Medical Journal, 2015, 30(4): 740-742. doi: 10.7507/1002-0179.20150211 Copy

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10.	汤惠英, 黄震佳, 袁霞, 等. 间断冲洗加自制封闭式负压引流治疗四肢外伤性难愈创面的效果观察及护理[J]. 华西医学, 2013, 28(6):813-815.
11.	刘洋, 胡大海, 董茂龙, 等. 负压封闭引流治疗小鼠创面铜绿假单胞菌感染的效果及机制[J]. 中华烧伤杂志, 2011, 27(4):255-259.
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14.	曾丁, 孙可, 陶白江, 等. 改良式封闭负压疗法在难愈性创面中的应用体会[J]. 中华损伤与修复杂志:电子版, 2011, 6(6):957-959.

1. 黎介寿, 尹路. 肠外瘘[M]. 北京:人民军医出版社, 1995:8.
2. 陈少全, 王烈, 邹忠东, 等. 粘贴式负压冲吸器在高流量肠外瘘合并切口裂开治疗中的应用[J]. 第二军医大学学报, 2007, 28(6):676-678.
3. 查全萍, 付琴香, 林瑞娇, 等. 肠瘘合并切口裂开患者的封闭式负压冲吸治疗及护理[J]. 福建中医药, 2009, 40(2):60-61.
4. 应莲琴, 唐慧琳, 王慧, 等. 改良式自制腹腔双套管在肠瘘患者的应用护理[J]. 护士进修杂志, 2011, 26(1):70-71.
5. 金鲜珍, 乔莉娜, 廖春艳, 等. 自制负压吸引装置在肠外瘘患者伤口护理中的应用[J]. 护理学杂志, 2012, 27(22):80-81.
6. Webster J, Scuffham P, Sherriff KL, et al. Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention[J]. Cochrane Database Syst Rev, 2012:CD009261.
7. Vikatmaa P, Juutilainen V, Kuukasjärvi P, et al. Negative pressure wound therapy:a systematic review on effectiveness and safety[J]. Eur J Vasc Endovasc Surg, 2008, 36(4):438-448.
8. 蔡秋妮, 卢伟锋, 杨东海, 等. 改良封闭负压辅助闭合技术在下肢静脉性溃疡的应用[J]. 华西医学, 2014, 29(9):1603-1606.
9. 刘梅, 刘芳, 蒋敏君. 胰十二指肠切除术后并发肠瘘的观察与护理[J]. 护士进修杂志, 2014, 29(15):1386-1388.
10. 汤惠英, 黄震佳, 袁霞, 等. 间断冲洗加自制封闭式负压引流治疗四肢外伤性难愈创面的效果观察及护理[J]. 华西医学, 2013, 28(6):813-815.
11. 刘洋, 胡大海, 董茂龙, 等. 负压封闭引流治疗小鼠创面铜绿假单胞菌感染的效果及机制[J]. 中华烧伤杂志, 2011, 27(4):255-259.
12. Potter MJ, Banwell P, Baldwin C, et al. In vitro optimisation of topical negative pressure regimens for angiogenesis into synthetic dermal replacements[J]. Burns, 2008, 34(2):164-174.
13. Baldwin C, Potter M, Clayton E, et al. Topical negative pressure stimulates endothelial migration and proliferation:a suggested mechanism for improved integration of Integra[J]. Ann Plast Surg, 2009, 62(1):92-96.
14. 曾丁, 孙可, 陶白江, 等. 改良式封闭负压疗法在难愈性创面中的应用体会[J]. 中华损伤与修复杂志:电子版, 2011, 6(6):957-959.

West China Medical Journal

Evaluation of Leakage Management and Skin Care by Improved Homemade Mobile Vacuum Sealing Drainage Device for Enterocutaneous Fistula Patients

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