How to deal with poor incision healing after stoma retraction?

In recent years, the incidence of rectal cancer has been increasing year by year, among which low is the most common. Low rectal cancer is usually treated with surgery. The temporary stoma can replace the anus in a short period of time. After the high-risk period of other complications such as anastomotic leakage, the patient can be treated with ileostomy. However, the complication of poor incision healing is prone to occur after stoma restoration. How to deal with this kind of problem, let's take look with me below.

How should the incision be treated after surgery?

Cleaning: According to the different characteristics of the incision, use povidone iodine cotton balls to disinfect, remove loosely attached debris and necrotic tissue on the surface of the incision, and then scrub with isotonic saline cotton balls. If the opening of the incision is small, after excluding the communication with the abdominal cavity, the flushing method can be used for deep cleaning.

Debridement: Use a combined debridement method that combines mechanical debridement and conservative sharp instrument debridement to remove the yellow necrotic tissue visible to the naked eye.

Secretion culture: After the incision evaluation, for the incision with obvious redness, swelling, purulent fluid, abnormal color and smell of the dressing, or no obvious signs of improvement after a period of treatment, the secretion of general bacteria Culture + drug susceptibility testing, so as to determine whether the incision is infected and the type of infection, so as to treat the symptoms.

How to choose the functional dressing for an incision?

The selection of dressings for different incisions is also different. According to the theory of moist healing, we need to comprehensively consider the characteristics of the patient's incision, the amount of exudate, the condition of the base, the smell, the culture results of the incision secretion, and the economic situation of the patient. The following are several dressings suitable for postoperative incisions.

Hydrocolloid Dressing :

Hydrocolloid dressing is an elastic dressing composed of medical pressure-sensitive adhesive, carboxymethylcellulose (CMC) particles, etc. It can provide the wound with a slightly acidic airtight space that is conducive to wound healing, speed up wound healing, prevent the invasion of foreign microorganisms, and reduce the chance of wound infection.

Silver Ion Dressing :

Silver-containing dressing is a broad-spectrum local incision bactericidal dressing, and silver-ion dressing is an antibacterial dressing made of synthetic polymer water-absorbing fibers with silver compounds added through a special process. Releases silver ions upon contact with wound exudate. Binds to enzyme proteins in bacterial cells, inactivates them, and kills the bacteria. The combination of silver ions in the dressing and metalloproteins in the wound increases the ion concentration of zinc, calcium, and copper in the wound and promotes wound healing.

Silicone Foam Dressing :

Silicone Foam Dressing covering the incision can make the incision airtight, reduce the chance of infection, and can maintain the incision's hypoxic state and constant temperature and humidity, so as to accelerate the incision healing. When Silicone Foam Dressing is used, it can create a good environment for incision healing, prevent excessive growth of granulation, effectively reduce the hyperplasia of granulation tissue, and at the same time be waterproof, reducing the number of dressing changes in outpatient clinics. Moreover, the silicone gel will not bring pain to the patient when changing the dressing, and the operation is also simple and convenient.

Nutritional Support :

In the early postoperative period, the patient's defecation has not returned to normal, and the intestinal function is damaged, so it is encouraged to eat less and more meals, mainly foods with high calories, high protein, and rich in vitamins, minerals, and trace elements, and combined with the actual situation of the patient.

For more information on Innomed® Silicone Foam Dressing, Refer to the Previous Articles. If you have customized needs, you are welcome to contact us; You Wholeheartedly. At longterm medical, we transform this data by Innovating and Developing Products that Make Life Life easier for those who need loving care.

Editor: kiki Jia

Date: May 16, 2023