Does Primary Closure Increase Surgical Site Infection after Intestinal Stoma Reversal? A Retrospective Cohort Study

Murtaza, Ghulam; Nuruddin, Rozina; Memon, Aisha; Chawla, Tabish; Azam, Iqbal; Mukhtar, Yasir

doi:10.1089/sur.2012.165

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Gonzalez et al [ 28 ] reported that age, operation time, and cardiac risk factors were found to be independent risk factors for surgical site infection; however, our study did not identify any risk factors, possibly because of the relatively small sample size. More measures should be taken to decrease the incidence of incision infection, including better management of T2DM, purse-string skin closure, an open incision, and a large surgeon volume[ 26 , 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Early postoperative complications after transverse colostomy closure, a retrospective study

Liu,

Luo,

et al. 2024

World J Gastrointest Surg

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BACKGROUND Ostomy is a common surgery usually performed to protect patients from clinical symptoms caused by distal anastomotic leakage after colorectal cancer (CRC) surgery and perforation or to relieve intestinal obstruction. AIM To analyze the complications after transverse colostomy closure. METHODS Patients who underwent transverse colostomy closure from Jan 2015 to Jan 2022 were retrospectively enrolled in a single clinical center. The differences between the complication group and the no complication group were compared. Logistic regression analyses were conducted to find independent factors for overall complications or incision infection. RESULTS A total of 102 patients who underwent transverse colostomy closure were enrolled in the current study. Seventy (68.6%) patients underwent transverse colostomy because of CRC related causes. Postoperative complications occurred in 30 (29.4%) patients and the most frequent complication occurring after transverse colostomy closure was incision infection (46.7%). The complication group had longer hospital stays (P < 0.01). However, no potential risk factors were identified for overall complications and incision infection. CONCLUSION The most frequent complication occurring after transverse colostomy closure surgery in our center was incision infection. The operation time, interval from transverse colostomy to reversal, and method of anastomosis might have no impact on the postoperative complications. Surgeons should pay more attention to aseptic techniques.

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Section: Discussionmentioning

confidence: 99%

Early postoperative complications after transverse colostomy closure, a retrospective study

Liu,

Luo,

et al. 2024

World J Gastrointest Surg

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“…This was observed in most previous studies. 10,12,13 Vermulst et al found 36% versus 5% infection in primary versus secondary skin wound closure after stoma closure. 13 Secondary closure technique is used in treating wounds in contaminated conditions and has shown to reduce the frequency of infection, wound dehiscence, and hernia formation along with reduction in overall LOS.…”

Section: Discussionmentioning

confidence: 99%

“…There is a wide variation in wound infection rates among different techniques in literature. 3,7 Some studies show increased wound infection rates with primary closure, 10,12,13 others reveal increased rates with secondary closure, 8,11 while a few show no significant difference of infection rates between primary and secondary closures. A few studies favoured purse string closure with reduced infection rates.…”

Section: P R O V I S I O N a L L Ymentioning

confidence: 99%

Primary versus secondary closure of stoma reversal skin wound: randomized controlled trial

2022

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Objective: To compare the efficacy of primary versus secondary closure of stoma reversal skin wound in terms of wound infection. Method: The study was conducted at Surgical B Unit of Ayub Teaching Hospital, Abbottabad, Pakistan, from January 1 to December 31, 2020, and comprised adult patients of either gender undergoing stoma reversal. The patients were randomised into primary closure group A and secondary closure group B. Surgical procedure was similar in both the groups except the skin closure technique. In group A, skin was closed with interrupted polypropylene sutures, while in group B, wound was dressed with saline-soaked gauze daily using aseptic technique and was allowed to heal by secondary intention or delayed primary closure latter on. Postoperatively, the wound was assessed for infection till 30th postoperative day or complete wound healing. Data was analysed using SPSS 16. Results: Of the 50 patients, 35(70%) were males and 15(30%) were females. The overall mean age was 28±1.65years. There were 25(50%) patients in each of the two groups. There were 19(76%) males and 6(24%) females in group A with a mean age of 32±2.8years. There were 16(64%) males and 9(36%) females in group B with a mean age of 23±3.5years. Overall, 10(20%) patients had wound-site infections; 9(36%) in group A versus 1(4%) in group B (p=0.005). Frequency of wound infection with respect to gender, type of stoma and length of hospital stay was not significant (p>0.05). Conclusion: Secondary skin closure was found to be associated with significantly reduced wound infection rate after stoma reversal. Clinical Trial Number: NCT04785404. Link; https://clinicaltrials.gov/ct2/show/NCT04785404 Key Words: Stoma reversal, Primary closure, Secondary closure, Wound infection, Ileostomy, Colostomy.

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A protocol for skin closure after stoma reversal

2019

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Does Primary Closure Increase Surgical Site Infection after Intestinal Stoma Reversal? A Retrospective Cohort Study

Abstract: The risk of SSI in closed incisions is greater than that in open incisions. It is suggested that incisions not be closed primarily in patients undergoing stoma reversal.

Cited by 4 publications

References 13 publications

Early postoperative complications after transverse colostomy closure, a retrospective study

Early postoperative complications after transverse colostomy closure, a retrospective study

Primary versus secondary closure of stoma reversal skin wound: randomized controlled trial

A protocol for skin closure after stoma reversal

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