Comparison Between Ostomy Closure Using Purse-String Versus Linear in Children

Abstract

BACKGROUND: Type of ostomy closure has connection with some complications and also cosmetic effects. AIMS: This study aimed to compare result of colostomy closure using purse-string method versus linear method in terms of surgical site infection, surgical time, and patient satisfaction. METHODS: In this study, 50 patients who underwent purse-string ostomy closure and 50 patients who underwent linear closure were included. Two groups were compared for surgical time, wound infection, patient satisfaction, scar length. A p-value <0.05 was considered significant. RESULTS: Wound infection was not reported among purse-string group compared to 10% in linear group (p=0.022). Scar length was 24.09±0.1 mm in purse string and 52.15±1.0 mm in linear group (p=0.033). Duration of hospital admission was significantly shorter in purse-string group (6.4±1.1 days) compared to linear (15.5±4.6 days, p=0.0001). The Patient and Observer Scar Assessment Scale scale for observer (p=0.038) and parents (p=0.045) was more favorable among purse-string group compared to linear. CONCLUSION: Purse-string technique has the less frequent surgical site infection, shorter duration of hospital admission, less scar length, and more favorable cosmetic outcome, compared to linear technique.

Bishop-Koop Ostomy Revisited: A “Test-Drive” Intestinal Diversion for Children With Suspected Bowel Dysmotility

“…Although closure of an ostomy is a common and straightforward procedure, it is not free of complications, and the incidence of anastomotic leaks is reported to be between 1.6 and 31% in children with an increased risk of anastomotic complications, such as peritonitis (NEC) or a size discrepancy between the dilated proximal and the unused distal bowel (MI). In these cases, a two-stage restoration of intestinal continuity using the formation of the diverting enterostomy has been advocated 2 , 13 , 15 , 20 , 31 .…”