[Gunsight closure versus purse-string closure techniques in loop stoma reversal: a multicenter prospective randomized...

Area of Science:

• Surgical innovation and patient outcomes
• Gastrointestinal surgery techniques
• Wound healing and infection control

Background:

• Loop stoma closure is a common surgical procedure.
• Traditional closure methods may impact healing time and patient satisfaction.
• Evaluating alternative techniques is crucial for optimizing surgical outcomes.

Purpose of the Study:

• To compare the efficacy of gunsight versus purse-string closure techniques for loop stoma reversal.
• To assess differences in wound healing time, surgical site infection (SSI) rates, and patient satisfaction.
• To determine the optimal closure technique for stoma reversal.

Main Methods:

• A multicenter prospective randomized controlled trial involving 143 patients undergoing loop stoma reversal.
• Patients were randomized into two groups: gunsight closure (n=72) and purse-string closure (n=71).
• Primary endpoint was wound healing time; secondary endpoints included SSI incidence, morbidity, and patient satisfaction.

Main Results:

• The gunsight group demonstrated a significantly shorter wound healing time (17 days vs. 25 days) and higher patient satisfaction scores compared to the purse-string group.
• No significant differences were observed in SSI rates, morbidity, or other postoperative outcomes between the two techniques.
• The gunsight procedure had a longer operative time but resulted in superior wound healing and patient satisfaction.

Conclusions:

• Both gunsight and purse-string techniques are effective for stoma reversal with low surgical site infection rates.
• The gunsight technique is recommended due to its association with shorter wound healing times and increased patient satisfaction.
• This study provides evidence supporting the gunsight technique as the preferred method for loop stoma closure.