Complex Wounds and Fistulas

12/02/2026

In this session, Mary Anne demonstrates a simple, easy-to-apply dressing technique for peri-fistula and peristomal skin breakdown. This approach may be a rescue for “unpouchable” patients with deep creases or scarring and can prevent leaks for up to 5–7 days, depending on clinical circumstances.

Watch the video here: https://youtu.be/J_g6VhwdjeY

31/10/2023

VAC Ulta Leak Alarm Hack!

https://youtu.be/vEB-IgYTPb8

Increasing the leak threshold on VAC Ulta pumps can effectively address error codes caused by minor VAC dressing leaks and speed up dressing completions.

For more valuable wound care techniques attend the “NPWT: What lies beneath? Tips for spaces, tracts and undermining” session at !

This session demonstrates an easy way to increase the leak threshold setting on a VAC Ulta Negative Pressure Wound Therapy (NPWT) pump. Increasing the leak ...

26/10/2023

Gopher Tunnel Instillation VAC Technique!
https://youtu.be/tZY1SLn29VM

Discover how this approach can help close deep tracts, especially for patients with sacral wounds and other wounds prone to undermining.

For more valuable wound care techniques attend the “ : What lies beneath? Tips for spaces, tracts and undermining” session at !

This session demonstrates the Gopher Tunnel Technique for wounds with deep tunnels when using Negative Pressure Wound Therapy (NPWT) / VAC with fluid instill...

24/10/2023

Skin-Sparing Instillation VAC Technique!

https://youtu.be/8WcdofqixlM

Discover how this approach preserves skin and soft tissue, especially for patients with necrotizing soft tissue disease and deep undermining wounds.

For more valuable wound care techniques attend the “NPWT: What lies beneath? Tips for spaces, tracts and undermining” session at !

This session demonstrates the Skin-Sparing Technique for wounds with deep undermining when using Negative Pressure Wound Therapy (NPWT) / VAC with fluid inst...

19/10/2023

Tracts and Undermining at SAWC Fall!

https://sawcf.eventscribe.net/agenda.asp?BCFO=&pfp=FullSchedule&fa=&fb=&fc=&fd=&all=1&mode=

Join the “NPWT: What Lies Beneath? Tips for Spaces, Tracts, and Undermining” session at . Discover how to harness the power of NPWT for advanced wound healing, particularly in challenging areas like undermining and tracts. This session will delve into effective strategies and offer invaluable dressing placement tips for this patient demographic.

17/10/2023

Fast Fix for VAC Blockages!

Frustrated with VAC blockage alerts during fluid instillation? Avoid complete dressing take-downs and keep therapy in place with this quick and effective solution.

For more valuable wound care techniques attend the “NPWT: What lies beneath? Tips for spaces, tracts and undermining” session at SAWC Fall 2023!

This session demonstrates straightforward fixes for blockage alerts that happen when using Negative Pressure Wound Therapy (NPWT) / VAC with fluid instillati...

23/05/2023

https://www.wocnext.org/WOCN2023/Public/SessionDetails.aspx?FromPage=Sessions.aspx&SessionID=1104&SessionDateID=65

2023 features a Hands-On Workshop on Tuesday June 6th. Pre-registration is required.

Wound, Ostomy, and Continence Nurses Society - WOCN

31/01/2023

https://behindtheknife.org/video/crs-virtual-education-managing-difficult-stomas-and-fistulas-keys-to-success/

Learn about managing difficult stomas and fistulas!

06/01/2023

https://crsvirtualed.org/

Difficult Stomas and Fistulas on Sunday!

https://crsvirtualed.org/

Watch the virtual presentation of “Managing Difficult and : Keys to Success” from the Colorectal Surgery Virtual Educational Series (CRS) on Sunday, January 8th at 7:00 PM EST.


The American Society of Colon and Re**al Surgeons - ASCRS
American College of Surgeons
Wound Ostomy Continence Nursing Certification Board
Mary Anne Obst

21/11/2022

Mission Overview: Ukraine War Wound Care with CUSAP

https://youtube.com/shorts/JwViKUjAhaI

The Canada Ukraine Surgical Aid Program is preparing for its second mission to deliver surgical care to Ukraine war casualties. Patients will be transported from Ukraine to Poland for treatment by the team which for the first time will include a complex wound care specialist.

Canada-Ukraine Foundation

The Canada Ukraine Surgical Aid Program (CUSAP) has developed a remarkably effective model for mobilizing a self-sufficient comprehensive team to deliver sop...

15/11/2022

Pouch Fl**ge Sandwich Short!

https://www.youtube.com/shorts/lOc9poVU2TM

This Complex Wounds and Fistulas technique is used to form a superior seal around an pouch or wound manager to prevent leaks and .

The pouch fl**ge sandwich is particularly helpful in cases of frequent ostomy pouch leaks.


Hollister Incorporated
Urgo Medical North America
3M Health Care

The pouch fl**ge sandwich technique is used to form a superior seal around an ostomy pouch or wound manager to prevent leaks and Moisture Associated Skin Dam...

08/11/2022

Complex Wounds and Fistulas in Seattle!

Don't miss the “ Fun Friday: Techniques, Tips and Tricks” and “ : Tackle Them Like Harry!” sessions at the University of Washington's 2022 Update on November 17-18th.

Learn more and register:

Expert education for healthcare professionals.