Wound Care Plan

Fistula – ligation wound

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-70

Categories

Fistula

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

Reduce tissue deficit whilst providing care outside of the acute setting

Aim of Dressing

Increase granulating tissue formation to improve wound closure time to reduce risk of infection in a end stage renal failure patient

Frequency of Dressing Change

2 Days(s) Min - 3 Days (Max)

Consult(s) / Diagnostic Test Required

Nil

References

Shopping List

Dressing Pack (Large),Normal Saline,Vac Dressing Foam – Black – Medium,ACTIV.A.C.™ Cannister,Activac
Page Table of Contents

    Product Selection Disclaimer:

    The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

    Photo Gallery

    Care Plans

    Fistula ligation - VAC therapy

    Patient has had their fistula ligated and is suitable for a VAC

     Swipe 
    Step 1

    Clean the wound

    Products Used
    Step 2

    Cut the foam to fit the wound bed

    Always look at the anatomical structures to make sure there is no tendon or vessels. If there is tendon showing use and interface (silicone dressing). If there is a vessel stop and speak to the surgical team.
    Products Used
    Step 3

    Connect to Activac

    Connect the dressing to the cannister and the VAC machine
    Products Used
    Step 4

    Set the machine up

    Set the Activac machine up at 100mmHg or 125mmHg continuous.
    Products Used

    Fistula ligation - VAC therapy

    Patient has had their fistula ligated and is NOT suitable for a VAC or the wound has become drier than you wish

     Swipe 
    Step 1

    Clean the wound

    Products Used
    Step 2

    Pack the wound

    Pack the wound with Octenilen gel but smashing 50cm of 1.25cm ribbon gauze into a whole tube of the gel. DO NOT use the gauze from your dressing pack. This is pressed gauze and will not hold the gel well.
    Products Used
    Step 3

    Secure with occlusive dressing

    Products Used