Gross E, Irving M
Br J Surg. 1977 Apr;64(4):258-63. doi: 10.1002/bjs.1800640409.
The use of two recently introduced skin protective preparations in the treatment of perifistular skin inflammation is described. Karaya gum in paste form (karaya paste) and a compressed wafer of gelatin, pectin and methyl cellulose (Stomahesive) were used, alone or in combination; with drainable collecting appliances. The method protects the inflamed skin from fistula discharge and allows healing to proceed beneath the dressing. A technique to improve the adhesion of the appliance, in spite of large fluid losses, is outlined. Healing of skin excoriation was obtained in nearly all cases. Complete control of leakage was achieved in a group of patients with a high output fistula.
本文描述了两种最近推出的皮肤保护制剂在治疗瘘管周围皮肤炎症中的应用。使用了糊状的卡拉亚胶（卡拉亚糊剂）和由明胶、果胶及甲基纤维素制成的压缩薄片（造口黏附剂），单独使用或联合使用，并搭配可引流的收集器具。该方法可保护发炎皮肤免受瘘管排出物的影响，使伤口在敷料下愈合。文中还概述了一种尽管有大量液体流失但仍能提高器具黏附力的技术。几乎在所有病例中，皮肤擦伤均得以愈合。在一组高流量瘘管患者中实现了对渗漏的完全控制。
