FEATURESExternal Nursing Applications in the Supportive Management of Prolonged Postoperative Ileus Description of Interventions and Case ReportDeckers, Bernhard RN; von Schoen-Angerer, Tido MD, MPH; Voggenreiter, Bernd DrMed; Vagedes, Jan DrMed Author Information Departments of Surgery (Mr Deckers and Dr Voggenreiter) and Pediatrics (Dr Vagedes) and ARCIM Institute (Mr Deckers and Drs von Schoen-Angerer and Vagedes), Filderklinik, Filderstadt, Germany; Department of Pediatrics, Fribourg Hospital HFR, Fribourg, Switzerland (Dr von Schoen-Angerer); and Department of Pediatrics, University Hospital, Tübingen, Germany (Dr Vagedes). Correspondence: Tido von Schoen-Angerer, MD, MPH, ARCIM Institute, Filderklinik, Im Haberschlai 7, 70794 Filderstadt, Germany ([email protected]). Authors' contributions: B.D. conceptualized the report, provided patient information, drafted the section on the applications, and was the nurse performing the external applications. T.v.S-A. wrote the manuscript. B.V. and J.V. critically reviewed the manuscript. All authors read and approved the final manuscript.The authors thank Dr Sally Hargreaves (Imperial College London) for helpful input into the article. The Mahle Foundation provides funding to T.v.S-A. for the writing of case reports.The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Holistic Nursing Practice: July/August 2016 - Volume 30 - Issue 4 - p 216-221 doi: 10.1097/HNP.0000000000000158 Buy Metrics Abstract Prolonged postoperative ileus is a common but clinically challenging problem that leads to patient discomfort and prolonged hospitalization; the condition is managed through a multimodular program of supportive measures. In anthroposophic nursing, the management of prolonged postoperative ileus involves additional tools, including external abdominal compresses and massages with plant or silver-containing oils and ointments. We describe 3 typical techniques: Oxalis tincture compresses, Thuja/Argentum ointment compresses, and massage with “Wala Melissenöl” (containing Melissa officinalis, Carvum cari, Foeniculum amari, and Origanum majorana). A 61-year-old man with chronic pain from adhesions after multiple abdominal surgical procedures developed a prolonged postoperative ileus after an elective ileostomy reversal. Following slow recovery during the first postoperative days, he began vomiting. A nasogastric tube was inserted, and daily Oxalis tincture compresses and massage with “Wala Melissenöl” and Thuja/Argentum ointment compresses were applied on the abdomen. The patient's symptoms gradually improved over the next 10 days. No prokinetic medications were needed to manage this episode. External abdominal nursing applications with plant substances and silver can be an additional tool in the management of prolonged postoperative ileus. © 2016 Wolters Kluwer Health, Inc. All rights reserved.