The patient endured the accompanying wounds: a serosal tear of the transverse colon, pericardial temponade, stomach and aspiratory injuries, aneurism and dismembered stomach aorta. The improvement of a
gangrenous entrail and renal disappointment further confounded the underlying damage.
Because of the degree of Mr K's condition a subtotal colostomy and end ileostomy was framed. Mr K went through a half year in medical clinic in the USA before being exchanged back to Singapore General Hospital and the other best treatemnet provide chiropody treatment in Mississauga.
He was first surveyed by the Stomal Therapy Nurse at Singapore General Hospital . The patient had a gastro-jejunal fistula with yield estimated at 3-4 liters in 24 hours. There were two fistulae at the edge of the skin unite. The encompassing skin was unblemished.
The Eakin Fistula and Wound Pouch (REF 839212) was connected. The machine was checked the next day. A slight hole was noted. Re-authorization with Eakin Cohesive in the regions where the gravity spills had happened immediately settled the slight security issues.
After two days on the 17/1/2004 the injury pocket was changed totally despite the fact that there had been no further spillage. Before the use of the Fistula and Wound Pouch various obstruction creams had been utilized (see note 1) and it was chosen to bathe the patient and totally expel the buildup.
Two medical caretakers cooperated in the utilization of the Eakin Cohesive. One connected suction with the other "picture-encircling" directly around the edge and somewhat covering the injury edge with a substantial Eakin Cohesive Seal (REF 839001). This empowered leveling of the injury bed and an expansion in the wear time of the pocket.
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