“Tummy troubles”

Mrs Sonia Hicks1
1Royal Hobart Hospital, Hobart, Australia

This paper will endeavour to give you an overview of the management of a Small Bowel Fistula that occurred during Gynaecological surgery February 2018.  A 41 year old female was to undergo an Elective Hysterectomy, unfortunately we hit Tummy Troubles!  This  patient was transferred from a Private Hospital to Royal Hobart Hospital for management of a small bowel fistula and Open Laparotomy wound.

The V.A.C Ulta  was used to manage healing until a pouching system could be applied. After spending 6 months in hospital our patient was discharged to attend the Stomal Therapy Department for fistula pouch changes three times a week!!!

Surgery is planned for December 2018 to close small bowel fistula.


Sonia has over 25 years of experience in Stomal Therapy as a Clinical Nurse Consultant at the Royal Hobart Hospital.  Sonia provides services to all hospital inpatients of the RHH and the Hobart Private Hospital as well as seeing patients in the community.

Royal Hobart Hospital is the major tertiary and referral hospital in Tasmania covering many specialities resulting in very complex and challenging patients.

Sonia is very well versed and passionate Stomal Therapy Nurse.


This conference is proudly hosted by the Australian Association of Stomal Therapy Nurses: www.stomaltherapy.com

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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