OBJECTIVE: To assess the infection rate in the nonstoma wound in patients who undergo stoma closure. DESIGN: Chart review. SETTING: A tertiary-care hospital. PATIENTS: Ninety-five patients who underwent elective closure of an abdominal wall stoma requiring a separate abdominal incision. INTERVENTIONS: Elective general surgery procedures. MAIN OUTCOME MEASURE: Wound infection rate. RESULTS: The overall wound infection rate was 29%. Primary wound closure was associated with a markedly increased wound infection rate (41%) compared with delayed primary or secondary wound closure (15%). No other preoperative factor specifically predicted a high rate of postoperative nonstoma wound infection. CONCLUSIONS: The nonstoma wound during elective closure of an abdominal stoma is at high risk for infection postoperatively. Delayed primary or secondary closure may lessen this risk.
OBJECTIVE: To assess the infection rate in the nonstoma wound in patients who undergo stoma closure. DESIGN: Chart review. SETTING: A tertiary-care hospital. PATIENTS: Ninety-five patients who underwent elective closure of an abdominal wall stoma requiring a separate abdominal incision. INTERVENTIONS: Elective general surgery procedures. MAIN OUTCOME MEASURE: Wound infection rate. RESULTS: The overall wound infection rate was 29%. Primary wound closure was associated with a markedly increased wound infection rate (41%) compared with delayed primary or secondary wound closure (15%). No other preoperative factor specifically predicted a high rate of postoperative nonstoma wound infection. CONCLUSIONS: The nonstoma wound during elective closure of an abdominal stoma is at high risk for infection postoperatively. Delayed primary or secondary closure may lessen this risk.
Authors: M P J Lopez; M F A Melendres; S A C A Maglangit; M F T Roxas; H J Monroy; A C Crisostomo Journal: Tech Coloproctol Date: 2015-06-05 Impact factor: 3.781