Huiyan Wei, BSc, RN, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, China.
Jin Qiu, BSc, RN, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, China.
J Wound Ostomy Continence Nurs. 2024;51(1):74-77. doi: 10.1097/WON.0000000000001047.
Peristomal abscess (PA) is an uncommon but challenging peristomal skin complication. The initial treatment of the PA usually includes incision and drainage of the abscess, resulting in a peristomal wound. The presence of the wound makes it difficult to maintain a seal between the ostomy skin barrier and the peristomal skin resulting in frequent removal and application of the skin barrier to prevent leakage and allow for daily wound care.
Ms T was a 52-year-old woman with an ileostomy resulting from a prior left hemicolectomy for colon cancer who developed a PA. Treatment of the PA was implemented, along with a modified 2-piece skin barrier that allowed access to the peristomal wound for daily dressing changes while maintaining a seal around the ostomy.
The modified 2-piece skin barrier technique proved a successful treatment for the management of the PA without frequent changes of the ostomy pouching system.
造口周围脓肿（PA）是一种不常见但具有挑战性的造口周围皮肤并发症。PA 的初始治疗通常包括脓肿切开引流，从而导致造口周围出现伤口。伤口的存在使得造口皮肤屏障和造口周围皮肤之间难以保持密封，导致经常需要移除和应用皮肤屏障以防止泄漏，并允许每天进行伤口护理。
T 女士，52 岁，因结肠癌行左半结肠切除术而造口，后发生 PA。对 PA 进行了治疗，并使用改良的两件式皮肤屏障，该屏障允许每天更换造口周围伤口的敷料，同时保持造口周围的密封。
改良的两件式皮肤屏障技术成功地治疗了 PA，而无需频繁更换造口袋系统。
