Literature DB >> 12534395

A technique for wound closure that minimizes sepsis after stoma closure.

Christopher Derek Sutton1, Nigel Williams, Leslie-Jayne Marshall, Geraint Lloyd, William Michael Thomas.   

Abstract

BACKGROUND: The aim of the present study was to assess the incidence of wound sepsis following closure of ileostomies and colostomies in our institution.
METHODS: Circumferential subcuticular wound approximation was used in 51 patients in our institution. Evidence of wound sepsis (assessed by the presence of cellulitis, induration and or purulent discharge) was documented both in the postoperative period and in outpatient follow-up.
RESULTS: A wound infection rate of 0% was achieved, both in the immediate postoperative period and upon 6-week follow-up.
CONCLUSIONS: Circumferential subcuticular wound approximation is, therefore, a safe and efficacious technique for dealing with the skin wound after stomal closure, virtually abolishing wound sepsis.

Entities:  

Mesh:

Year:  2002        PMID: 12534395     DOI: 10.1046/j.1445-2197.2002.02514.x

Source DB:  PubMed          Journal:  ANZ J Surg        ISSN: 1445-1433            Impact factor:   1.872


  19 in total

1.  Implementing a standard protocol to decrease the incidence of surgical site infections in rectal cancer surgery.

Authors:  Minako Kobayashi; Yasuhiro Inoue; Yasuhiko Mohri; Chikao Miki; Masato Kusunoki
Journal:  Surg Today       Date:  2010-03-26       Impact factor: 2.549

2.  Elective colon and rectal surgery differ in risk factors for wound infection: results of prospective surveillance.

Authors:  Tsuyoshi Konishi; Toshiaki Watanabe; Junji Kishimoto; Hirokazu Nagawa
Journal:  Ann Surg       Date:  2006-11       Impact factor: 12.969

3.  The use of purse-string skin closure in loop ileostomy reversals leads to lower wound infection rates--a single high-volume centre experience.

Authors:  Nils Habbe; Sabine Hannes; Juliane Liese; Guido Woeste; Wolf Otto Bechstein; Christoph Strey
Journal:  Int J Colorectal Dis       Date:  2014-01-10       Impact factor: 2.571

4.  Association between incisional surgical site infection and the type of skin closure after stoma closure.

Authors:  Shin Kobayashi; Masaaki Ito; Masanori Sugito; Akihiro Kobayashi; Yusuke Nishizawa; Norio Saito
Journal:  Surg Today       Date:  2011-07-12       Impact factor: 2.549

5.  The effect of purse-string approximation versus linear approximation of ileostomy reversal wounds on morbidity rates and patient satisfaction: the 'STOMA' trial.

Authors:  D P O'Leary; M Carter; D Wijewardene; M Burton; D Waldron; E Condon; J C Coffey; C Peirce
Journal:  Tech Coloproctol       Date:  2017-11-17       Impact factor: 3.781

6.  Cosmetic and functional outcome after stoma site skin closure in children.

Authors:  Lisa Ortqvist; Markus Almström; Maria Ojmyr-Joelsson; Helena Wigander; Agneta Währner; Tomas Wester
Journal:  Pediatr Surg Int       Date:  2011-05-29       Impact factor: 1.827

7.  Wound infection following stoma takedown: primary skin closure versus subcuticular purse-string suture.

Authors:  Thao T Marquez; Dimitrios Christoforidis; Anasooya Abraham; Robert D Madoff; David A Rothenberger
Journal:  World J Surg       Date:  2010-12       Impact factor: 3.352

8.  Factors predicting stomal wound closure infection rates.

Authors:  N Mirbagheri; J Dark; S Skinner
Journal:  Tech Coloproctol       Date:  2012-10-18       Impact factor: 3.781

Review 9.  Purse-string approximation is superior to primary skin closure following stoma reversal: a systematic review and meta-analysis.

Authors:  D P McCartan; J P Burke; S R Walsh; J C Coffey
Journal:  Tech Coloproctol       Date:  2013-01-25       Impact factor: 3.781

10.  Purse-string approximation vs. primary closure with a drain for stoma reversal surgery: results of a randomized clinical trial.

Authors:  Kunihiko Amano; Hideyuki Ishida; Kensuke Kumamoto; Norimichi Okada; Satoshi Hatano; Noriyasu Chika; Yusuke Tajima; Tomonori Ohsawa; Masaru Yokoyama; Keiichiro Ishibashi; Erito Mochiki
Journal:  Surg Today       Date:  2018-10-26       Impact factor: 2.549

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