Given the complexity of the patients, inpatient wound care is challenging; therefore, all physicians and surgeons should work with their wound, ostomy, continence (WOC) nurses as part of a multidisciplinary approach. Poor management of inpatient wounds has serious implications in terms of slowing or holding subsequent treatments and transfers/discharges that can lead to increases in the length of stay, which impact health care resources utilization and costs.
One tool I use for inpatient wounds is Endoform Dermal Template (Hollister Inc, Libertyville, IL). I appreciate its versatility and its ability to be used in stagnant or acute wounds and in situations where other advanced wound modalities may not be possible or optimal. In acute wounds where the patient’s extracellular matrix (ECM) is damaged or missing, Endoform Dermal Template provides a temporary ECM scaffold the patient’s body can use to help grow new tissue.1-3 In addition, the product can help provide broad-spectrum matrix metalloproteinase (MMP) reduction,4 useful for chronic wounds in which elevated protease levels may slow healing progress.5 Another important consideration for inpatient wound management is the continuum of care; using a dressing like Endoform, which is fully accessible in all settings, minimizes costly interruptions in the care continuum.
The following case is representative of the ways Endoform Dermal Template is an important part of the wound care armamentarium.