Comparison of surgical techniques for stoma closure: A retrospective study of purse‑string skin closure versus conventional skin closure following ileostomy and colostomy reversal

Wada,Yuma; Miyoshi,Norikatsu; Ohue,Masayuki; Noura,Shingo; Fujino,Shiki; Sugimura,Keijirou; Akita,Hirofumi; Motoori,Masaaki; Gotoh,Kunihito; Takahashi,Hidenori; Kobayashi,Shogo; Ohmori,Takeshi; Fujiwara,Yoshiyuki; Yano,Masahiko

doi:10.3892/mco.2015.505

May-2015 Volume 3 Issue 3

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May-2015 Volume 3 Issue 3

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Article

Comparison of surgical techniques for stoma closure: A retrospective study of purse‑string skin closure versus conventional skin closure following ileostomy and colostomy reversal

Authors:
- Yuma Wada
- Norikatsu Miyoshi
- Masayuki Ohue
- Shingo Noura
- Shiki Fujino
- Keijirou Sugimura
- Hirofumi Akita
- Masaaki Motoori
- Kunihito Gotoh
- Hidenori Takahashi
- Shogo Kobayashi
- Takeshi Ohmori
- Yoshiyuki Fujiwara
- Masahiko Yano
View Affiliations / Copyright

Affiliations: Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka 537‑8511, Japan
Pages: 619-622
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Published online on: February 6, 2015

https://doi.org/10.3892/mco.2015.505
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Abstract

The aim of this study was to compare the incidence of postoperative complications, including superficial incisional surgical site infection (SSI) following purse‑string skin closure (PS) and conventional skin closure with a drainage tube (CD) following stoma closure. A total of 55 consecutive patients who underwent loop colostomy and loop ileostomy closures in our hospital between October, 2011 and September, 2014 were retrospectively assessed. The patients were divided into two groups, namely the PS group (26 patients) and the CD group (29 patients). There were no significant differences in the characteristics of the patients between the two groups. The baseline and operative characteristics also did not differ significantly between the two groups. However, the incidence of superficial incisional SSI was lower in the PS group compared to that in the CD group (0 vs. 13.8%, respectively; P=0.049). The overall incidence of complications did not differ significantly between the two groups (P=0.313). The duration of postoperative hospital stay in the PS group was shorter compared to that in the CD group. In conclusion, the results of this study suggest that PS may an effective technique to reduce the incidence of superficial incisional SSI. This technique appears to be superior to the conventional technique, allowing for better cosmesis.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Comparison of surgical techniques for stoma closure: A retrospective study of purse‑string skin closure versus conventional skin closure following ileostomy and colostomy reversal

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