{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T14:03:08Z","timestamp":1763128988786,"version":"3.45.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Surgical wound dehiscence resulting in exposed bowel increases the risk for development of an enterocutaneous fistula. Consequently, management of exposed bowel in an open wound presents challenges in terms of wound care management. In addition, a surgical wound dehiscence within the peristomal plane of an ileal conduit also creates a complex challenge of maintaining an ostomy pouching system seal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CASES:<\/jats:title>\n                    <jats:p>Case 1 was a patient with peristomal skin complications requiring stoma re-siting and subsequent surgical wound dehiscence at the prior ostomy site. As a result, we addressed wound management in the setting of urinary leakage from the ileal conduit. We used negative pressure wound therapy (NPWT) in the setting of a peristomal dehisced surgical wound to promote healing and optimize peristomal skin health. Case 2 was a patient with an infected surgical incision requiring readmission to hospital and additional surgery. Intra-operative findings revealed a fascial defect with exposed bowel in the wound resulting in unique challenges for wound management. Again, we used NPWT in the setting of exposed bowel to promote granulation and achieve wound closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Research regarding ideal wound management for complex open abdominal wounds with exposed bowel is sparse. These case studies summarize our clinical experience managing complex patients with wound dehiscence and abdominal fascia defects and risk of enterocutaneous fistula formation with NPWT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/won.0000000000001233","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T14:00:20Z","timestamp":1763128820000},"page":"503-509","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Use of Negative Pressure Wound Therapy in Selected Cases to Facilitate Abdominal Wound Healing"],"prefix":"10.1097","volume":"52","author":[{"given":"Karie","family":"Wilson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terran","family":"Sims","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"R1-20251114","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.ijnurstu.2018.09.011","article-title":"Patients with surgical wounds healing by secondary intention: a prospective cohort study","volume":"89","author":"Chetter","year":"2019","journal-title":"Int J Nurs Stud"},{"issue":"7","key":"R2-20251114","doi-asserted-by":"crossref","first-page":"2479","DOI":"10.1007\/s00423-021-02221-w","article-title":"Successful surgical closure of infected abdominal wounds following preconditioning with negative pressure wound therapy","volume":"406","author":"Wagner","year":"2021","journal-title":"Langenbecks Arch Surg"},{"issue":"1","key":"R3-20251114","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1093\/bjs\/znad341","article-title":"Management of the open abdomen","volume":"111","author":"Soliman","year":"2024","journal-title":"Br J Surg"},{"issue":"5","key":"R4-20251114","first-page":"CD013710","article-title":"Negative pressure wound therapy for managing the open abdomen in non-trauma patients","volume":"5","author":"Cheng","year":"2022","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"R5-20251114","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s13063-019-3925-z","article-title":"The effectiveness of negative-pressure wound therapy for wound healing after stoma reversal: a randomised control study (SR-PICO study)","volume":"21","author":"Kim","year":"2020","journal-title":"Trials"},{"issue":"2","key":"R6-20251114","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/WON.0000000000000862","article-title":"Abdominal negative pressure wound therapy devices for management of the open abdomen: a technologic analysis","volume":"49","author":"Crumley","year":"2022","journal-title":"J Wound Ostomy Contin Nurs"},{"issue":"1","key":"R7-20251114","first-page":"730829","article-title":"Negative pressure wound therapy for the treatment of the open abdomen and incidence of enteral fistulas: a retrospective bicentre analysis","volume":"2013","author":"Richter","year":"2013","journal-title":"Gastroenterol Res Pract"},{"issue":"6","key":"R8-20251114","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/00000637-199706000-00002","article-title":"Vacuum-assisted closure: a new method for wound control and treatment","volume":"38","author":"Argenta","year":"1997","journal-title":"Ann Plast Surg"},{"issue":"2","key":"R9-20251114","doi-asserted-by":"crossref","first-page":"p213","DOI":"10.1097\/SAP.0000000000001739","article-title":"Treatment of abdominal surgical wound dehiscence with bowel exposure and infection: using intrawound continuous negative pressure, irrigation, and application of artificial dermis","volume":"82","author":"Morinaga","year":"2019","journal-title":"Ann Plast Surg"},{"issue":"8","key":"R10-20251114","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1097\/ASW.0000000000000006","article-title":"Healing peristomal wounds around retracted stomas with negative-pressure wound therapy: a case series","volume":"36","author":"Cwali\u0144ski","year":"2023","journal-title":"Adv Skin Wound Care"},{"issue":"5","key":"R11-20251114","doi-asserted-by":"crossref","first-page":"38","DOI":"10.25270\/wmp.2020.5.3845","article-title":"Negative pressure wound therapy compared to petrolatum gauze and a Bogota bag to manage postoperative midline abdominal wound dehiscence: a pilot, nonrandomized controlled trial","volume":"66","author":"Chandrasekhar","year":"2020","journal-title":"Wound Manag Prev"}],"container-title":["Journal of Wound, Ostomy &amp; Continence Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000001233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T14:00:22Z","timestamp":1763128822000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000001233"}},"subtitle":["A Multiple Case Series"],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/won.0000000000001233","relation":{},"ISSN":["1071-5754","1528-3976"],"issn-type":[{"value":"1071-5754","type":"print"},{"value":"1528-3976","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}