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.


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.


This conference is proudly hosted by the Australian Association of Stomal Therapy Nurses:

One of the Association's major objectives is the promotion of quality care for a wide range of people with specific needs. These needs may be related to ostomy construction, urinary or faecal incontinence, wounds with or without tube insertion and breast surgery.

Patients/clients across the life span are provided with preventative, acute, rehabilitative and continuing care as required. Another objective is the maintenance and improvement of professional standards in relation to Stomal Therapy Nursing Practice to the highest degree possible. Recognition of the need for and encouragement of the development of specialist expertise in the field of Stomal Therapy Nursing underpins the Standards for Stomal Therapy Nursing Practice.

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