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Wound management help when you really need it 

Deep Seated Enteric Fistula ISOLATION USING the WOund Crown

High output enteric fistula management is always a challenge, but is made more difficult when the fistula is sited at the edge of the wound bed.  The Wound Crown can be tailored to isolate fistula and ostomy effluent in this difficult situation.


  • 1) Trim Wound Crown flanges as needed to position the device against the edge of the wound bed and over the fistula.  Cut the base dome open to fit the contours of the wound bed.
  • 2) Check Wound Crown fit over the fistula and make adjustments as needed.  Apply strip paste to base of Wound Crown if desired.
  • 3) Cut 1.5 inch (3.8 cm) hole in wound dressing that will center Wound Crown over fistula or wound.  Insert Wound Crown into the dressing.
  • 4) Place Wound Crown and foam over fistula and seal with clear drape.  Cut drape away from inner ring of Wound Crown to place collection appliance.

Check wound bed 24 hours after first placement  


Apply new Wound Crown with each dressing change

EDGE OF WOUND BED Enteric Fistula ISOLATION USING the WOund Crown

High Output Enteric Fistula ISOLATION USING the WOund Crown

Video:  Wound Crown to isolate an enteric fistula

Check wound bed 24 hours after first placement


Apply new Wound Crown with each dressing change

 


  • 1) Disinfect Wound Crown per your institutional protocol.  Do not autoclave.  Cut hole in base of Wound Crown to create open skirt.  Trim skirt and bottom flange to best fit fistula or wound bed surface.
  • 2) Cut 1.5 inch (3.8 cm) hole in wound dressing that will center Wound Crown over fistula or wound.                             
  • 3) Insert Wound Crown fully into hole until top flange is seated on top of wound dressing.  Ensure bottom flange is flush with bottom of wound dressing and skirt extends below wound dressing
  • 4) Prepare wound bed.  Place assembled Wound Crown and dressing onto wound bed so that Wound Crown base is centered over fistula or wound. 
  • 5) Seal entire dressing assembly with clear drape. Cut drape from inner ring. If seal is lost, try stoma paste inside Wound Crown base. Apply collection appliance to top flange.

Video:  Using stoma paste to obtain wound bed seal

Matured fistulas that are deeper in a wound bed can be a challenge.  The Wound Crown is specifically designed to isolate fistula and ostomy effluent in this type of difficult situation.


  • 1) Trim Wound Crown flanges as needed to enable insertion in the deep wound pocket.  Cut the base dome open to fit the contours of the wound bed.
  • 2) When turned 90 degrees, the prepared Wound Crown will look similar to the second diagram at right. Flanges are trimmed back (emphasized in red), and the base has depending flap(s) shaped to cradle the specific fistula or ostomy when the Wound Crown is applied.

Video:  Wound Crown placement with adhesive