Clinical trial on the incidence of wound infection and patient satisfaction after stoma closure: comparison of two skin closure techniques

Annals of Coloproctology
Sang Il YoonDong Guk Park

Abstract

Surgical site infection (SSI) is one of the most common complications that can occur after stoma closure. Reports have described differences in the incidence of wound infection depending on the skin closure technique, but there is no consensus on the ideal closure technique for a stoma wound. The aim of this study was to compare the incidence of SSI and the patient satisfaction between a circumferential purse-string approximation (CPA) and a primary linear closure (PC) of a stoma wound. This prospective nonrandomized trial enrolled 48 patients who underwent a stoma closure from February 2010 to October 2013. Patients were divided into two groups according to the stoma closing technique: the CPA group (n = 34) and the PC group (n = 14). The incidences of SSI for the two groups were compared, and the patients' satisfaction with the stoma closure was determined by using a questionnaire. SSI occurred in 3 of 48 patients (6.3%) and was more frequent in the PC group than in the CPA group (3/14 [21.4%] vs. 0/34 [0%], P = 0.021). Time to complete healing after stoma closure in the CPA group was 32 days (range, 14-61 days). Patients in the CPA group were more satisfied with the resulting wound scar (P = 0.043). After stoma closure, CPA ...Continue Reading

References

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Citations

May 11, 2016·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·A J BrookN J Smart
Feb 28, 2019·Techniques in Coloproctology·M GachabayovR Bergamaschi
Sep 25, 2020·Diseases of the Colon and Rectum·Jia Gang HanUNKNOWN Colorectal Surgery Group of Chinese Academic Society of Young Surgeons

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