Colorectal Cancer: Open Access

Nursing Management of a Deep Wound in the Sacral Site

Aim: Case report of a deep wound in the sacral site, (anterior-posterior perineal), caused by Cloacal neoplasia, with an urinary fistula. The objective was avoid critical colonizations and systemic infections after an abdominal resection and coccygectomy surgery.
Method: At first we used a iodoform gauze. In a second moment we treated the wound with a dressing of sodium carboxymethylcellulose impregnated with ionic silver enhanced by ethylenediaminetetra-acetic acid di sodium salt and benzethonium chloride.
Result: There were no exudate and bacterial colonization, and also no infection. The sacral stump has been covered by epitelium.
Conclusion: The silver Hydrofiber dressing together with the EDTA and benzethodium has been decisive. We can’t use negative pressure therapy. In 8 months of the treatment the wound has been reduced.

Author(s):

Maculotti D and Dario Dassenno

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