Abstract: Non-Powered Ambulatory Negative Pressure Device Adapted to use in Haiti to Manage Post –OP Colostomy Wound after Takedown (43rd Annual Conference (June 4-8, 2011))

5245 Non-Powered Ambulatory Negative Pressure Device Adapted to use in Haiti to Manage Post –OP Colostomy Wound after Takedown

Gregory Bohn, MD, Trinity Center for Wound Care and Hyperbaric Medicine, Medical Director Trinity Center for Wound Care and Hyperbaric Medicine, Bettendorf, IA and Kimberly L. Eldridge, RNFA, CNOR, CFCN, WCC, Rush Wound Care, Hyperbaric and Limb Salvage Center, RNFA, Surgical Wound Specialist, Meridian, MS
Post operative management of the colostomy site after surgery for reversal typically is managed  open with dressing changes.  Closing the ostomy site primarily results in a high infection rate at the colonized colostomy site. Infectious wound complications lead to site hernia development and prolonged healing increasing cost. Negative pressure devices have become more popular to manage these wounds in order to avoid infectious complication and expedite healing. A young 9 yo Haitian boy in Port Au Prince had under gone colostomy as a protective measure after pelvic fracture 4 months prior. Having healed the pelvic fracture and being fully ambulatory, he wanted the colostomy reversed. He had takedown of his colostomy with re-anastamosis resulting in a heavily colonized wound site. At the completion of surgery, the ostomy wound site was managed by a Non-Powered Ambulatory Negative Pressure Device. This allowed the boy to be ambulatory without the attachment to a heavier powered negative pressure device. This presentation is an illustrative demonstration of this unreported application of a new Non-Powered Ambulatory Negative Pressure Device previously used primarily on leg wounds.