This topic is about managing and healing multiple abdominal fistulas that developed around an ileostomy after emergency surgery. The person involved had an emergency ileostomy due to a bowel blockage caused by abdominal lymphoma. After surgery, complications arose, including the development of fistulas, which are abnormal connections that can form between the intestine and other parts of the body. Here are some insights and advice on managing this condition:

1. Healing Pattern: Fistulas can often close and reopen in different areas before gradually sealing as scar tissue forms. The yellow-to-green "pus" seen is actually alkaline digestive fluid, which can irritate the skin. Healing can be slow and may involve prolonged irritation.

2. Surgical Follow-up: It's important to keep in touch with the surgeon. If fistulas persist or recur, they might need drainage or elective repair if conservative care doesn't work.

3. Bowel-rest Option: In some cases, total parenteral nutrition (TPN) might be necessary, which means receiving nutrition through an IV and not eating by mouth for a while. This can help reduce output and allow the fistulas to close. If needed, a more definitive repair can be done later.

4. Wound-care Techniques:
- Use a silver-impregnated dressing to pack the tract, which helps control bacteria and promote healing.
- For broken skin, apply an antibiotic powder followed by stoma powder, sealing each layer with a barrier spray. Repeat this process twice before applying the pouching system.
- Use a softened barrier ring and add extra material where the skin is most inflamed to protect the tissue and help contain leaks.
- Continue with daily changes of Aquacel and Mepilex dressings when drainage is light, as this is already being done.

5. Long-term Outlook: Many fistulas eventually close on their own. If they don't, elective surgery after recovery from chemotherapy and infection might be necessary to provide a definitive solution.