Influence of skin closure technique on surgical site infection after loop ileostomy reversal: Retrospective cohort study

Abstract Background Intestinal stoma closure is associated with high risk of surgical site infection (SSI) at stoma reversal site. The aim of this retrospective cohort study was to determine the outcome of purse string approximation (PSA) compared to primary linear closure (PLC) of the skin after lo...

Full description

Saved in:

Bibliographic Details
Published in:	International journal of surgery (London, England) Vol. 11; no. 10; pp. 1123 - 1125
Main Authors:	Klink, C.D, Wünschmann, M, Binnebösel, M, Alizai, H.P, Lambertz, A, Boehm, G, Neumann, U.P, Krones, C.J
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-01-2013
Subjects:	Adult Aged Cohort Studies Dermatologic Surgical Procedures - adverse effects Dermatologic Surgical Procedures - methods Female Humans Ileostomy - adverse effects Loop ileostomy Male Middle Aged Primary linear closure Purse string approximation Retrospective Studies Skin closure Surgery Surgical site infection Surgical Wound Infection - etiology Wound Closure Techniques - adverse effects Wound Closure Techniques - statistics & numerical data Primary linear closure Surgical site infection Skin closure Loop ileostomy Purse string approximation
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Abstract Background Intestinal stoma closure is associated with high risk of surgical site infection (SSI) at stoma reversal site. The aim of this retrospective cohort study was to determine the outcome of purse string approximation (PSA) compared to primary linear closure (PLC) of the skin after loop ileostomy reversal. Methods Data of 140 patients operated between 2005 and 2012 were analyzed in this two-center-study to determine the outcome of patients with either PSA ( n = 44) or PLC ( n = 96) after loop ileostomy reversal. Results Patients in the PSA group were significantly older than in the PLC group (64 ± 15 vs. 57 ± 18; p = 0.026). Cardiac diseases were significantly more present in the PSA group in comparison to the PLC group (59% vs. 38%; p = 0.017). Stoma creation was significantly more often due to malignancy in the PSA group in comparison to the PLC group (68% vs. 50%; p = 0.044). SSI occurred significantly more often in the PLC group in comparison to the PSA group (17% vs. 5%; p = 0.047). Conclusions The risk for SSI is lower in patients with PSA in comparison to patients with PLC. In order to diminish SSI we recommend performing a PSA in patients with loop ileostomy reversal.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1743-9191 1743-9159
DOI:	10.1016/j.ijsu.2013.09.003