Nursing care of a patient with in situ re-ostomy for early necrosis of colostomy using a circular negative - pressure irrigation device

To summarize the preventive measures for incision and stoma infection in a case of early stoma necrosis after colon cancer intestinal obstruction surgery, followed by in situ stoma reconstruction. In view of the high risk of incision and stoma infection due to two stoma surgeries within a short period of time, iodophor gauze strips were placed subcutaneously at the incision site, and planned delayed healing was adopted. A negative pressure irrigation device was made from an infusion set and placed in a circular manner around the subcutaneous stoma intestinal tube for continuous irrigation to prevent stoma infection. The degree of incision infection was effectively controlled, and the negative pressure irrigation was effective. There was no exudate around the stoma, and no related complications such as stoma infection occurred. The wound and stoma were completely healed 20 days after the operation. The circular negative pressure irrigation tube is simple to place during the operation and convenient to manage after the operation. It can effectively prevent stoma infection in special cases and promote postoperative recovery of patients. (本文总结1例结肠癌患者肠梗阻术后早期造口坏死行原位再造口的护理措施, 以及切口与造口感染的预防措施。针对患者短时间内两次造口手术, 切口与造口的感染风险, 给予切口皮下填塞碘伏纱条, 计划性延期愈合, 并利用输液器自制负压冲洗装置环形放置于皮下造口肠管周围, 持续冲洗, 防止造口感染。患者切口感染程度有效控制, 负压冲洗效果良好, 造口周围无渗液, 未出现造口周围感染等相关并发症, 术后20 d伤口及造口完全愈合。环形负压冲洗管术中放置简单, 术后管理方便, 可有效预防特殊病例的造口周围感染, 促进患者术后康复。)