Balutan Parcel Alternatif Penatalaksanaan Fistula Gastrointestinal Pada Luka Dehiscence: Studi Kasus

Debie Dahlia
Journal article Indonesian Journal of Nursing • September 2007

Abstract

A fistula is an abnormal passage between the lumen of a hollow viscous organ and another hollow organ or the skin. Gastrointestinal fistula present as devastating complication following postoperative abdominal surgery and as secondary manifestation due to primary intra-abdominal pathologic processes. Management challenges focus on maintaining fluid and electrolyte balance, providing bowel rest and nutrition support, initiating medication treatment, ensuring skin protection, and containing the fistula effluent. Containing the fistula effluent is a key component of non-surgical fistula management. Following extensive abdominal surgery, the wound of a 66 years old man dehisced and a gastrointestinal fistula formed inside the wound. This case study describes efforts to contain fistula drainage, while providing comfort, facilitating wound healing, and protecting the periwound skin.

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Journal

Indonesian Journal of Nursing

The Indonesian Journal of Nursing focuses on nursing research and evidence-based studies, particu... see more