Pouching for Fistulas depending upon the Degree of Peri-Fistula Skin Trouble

Abstract

　Management of patients with fistulas is a complex procedure. The researchers attempt to create a guide line for a standard fistula management. In this research, we focused on pri-fistula skin trouble for assessment. The result of assessment; per-fistula skin trouble and pouching procedure indicated the following issues.
　When peri-fistula skin was ulcerated, applying Hydrocolloid dressing as a primary dressing, and skin barrier flange with Convex insert as a secondary dressing led collection of effuluent and epithelialization certain.
　When peri-fistula skin erosion occurred usage of Hydrocolloid or Hydorofilm dressing as a first dressing, usage of one-piece pouch with skin barrier as the second dressing showed the same result.
　Applying a pouching system with proper dressings led to improve the patients'“Quality of Life”.