Wound Care Plan

Fistula – ligation wound

Last Updated

16 April 2026

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Quick Overview

Reference ID Number: WL-WCP-70

Scope of Practice (ScOP) Designation

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

Treatment Goals

To support reduction of tissue deficit while delivering care outside the acute setting.

Aim of Dressing

To promote granulation tissue formation, enhance wound closure time, and reduce infection risk in a patient with end-stage renal failure.

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

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Care Plans

Fistula ligation - VAC therapy

The patient has undergone fistula ligation and is suitable for Vacuum Assisted Closure (VAC) therapy.

Swipe

Step 1

Setup sterile field

Establish a sterile field and transfer sterile dressings onto it using ANTT principles.Clean the wound. Always use a large dressing pack to maintain sterility

Products Used

Dressing Pack (Large),Normal Saline,Vac Dressing Foam – Black – Small

Step 2

Clean the wound bed

Clean the wound bed appropriately.

Products Used

Gauze squares

Step 3

Cut the foam to fit the wound bed

Inspect the wound bed for exposed structures such as tendon or vasculature. If tendon is present, use an interface (silicone dressing). If a vessel is visible, cease intervention and escalate to the surgical team immediately.

Products Used

Vac Dressing Foam – Black – Small

Step 4

Connect to Activac

Connect the dressing to the canister and Vacuum Assisted Closure (VAC) machine.

Products Used

ACTIV.A.C.™ Cannister

Step 5

Set the machine up

Configure the Vacuum Assisted Closure (VAC) device to continuous suction at 100 mmHg or 125 mmHg, as clinically indicated.

Products Used

Activac