The use of collagen and hyaluronic acid dressing in peristomal wound care

Miss Sunny Wu1
1RPAH, Camperdown, Australia

Aim: The aim of this poster is to review the use of a collagen and hyaluronic acid pad (Hyalo 4 Regen®) as a treatment option for the complication of a peristomal  wound in order to reduce hospital length of stay and expedite discharge home.

Body: Mrs W is a 64 year old female who underwent a Hartmann’s procedure with formation of a colostomy. A mucocutaneous separation was developed. It quickly deteriorated and was highly suspicious  as pyoderma gangrenosum.

Mrs R is a 64 year old female who underwent a right hemicolectomy with abcarian ileostomy formation. She developed a peristomal wound post-operatively.

Both of the patients were delayed for discharge because of the complications of peristomal skin. Then, the collagen and hyaluronic acid dressing was commenced as a primary dressing for both patients.

Conclusion: Mrs W’s peristomal wound was from 7 to 10 o’clock. The wound extended from stoma edge measured  2 x3 x2.5 cm. The shallow wound from 2 to 5 o’clock measured  1 x3 x 0.2 cm. After being treated with the collagen and hyaluronic acid dressing for 4 weeks, pt was discharged with this dressing.  6 weeks later, pt’s peristomal wound was epithelialized.

Mrs R’s peristomal wound at 9 o’clock measured 1 x1 x 1 cm. After being treated with the collagen and hyaluronic acid dressing for 3 weeks, the wound had completely granulated and had started to epithelialize. Pt was discharged soon after.


Biography:

Sunny Wu is a practising registered nurse at Royal Prince Alfred Hospital which is a designated centre for Pelvic Exenteration and Peritonectomy.  She has been nursing for 5 years with 3 years’ experience as a Colorectal Nurse. Currently, she is a master’s student of the Advanced G. I. Surgical Nursing Program at RPAH, and has been working in stomal therapy for the past year.