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A comparison of surgical site infections in children after stoma reversal between purse-string and linear closure

Chanathip Sayuen1,2, Ratiyaporn Phannua1, Sinobol Chusilp1

  • 1Department of Surgery, Khon Kaen University, Khon Kaen, 40002, Thailand.

Pediatric Surgery International
|September 21, 2021
PubMed

Insights

The purse-string closure technique significantly reduces surgical site infections (SSI) in pediatric stoma reversal compared to linear closure. This method offers a safer skin closure option for children undergoing stoma reversal surgery.

Area of Science:

  • Pediatric Surgery
  • Wound Closure Techniques
  • Infection Control

Background:

  • Surgical site infections (SSI) are a concern in stoma reversal.
  • The purse-string closure is recommended for adults but debated in pediatric cases.
  • This study addresses the efficacy of purse-string vs. linear closure in pediatric stoma reversal.

Purpose of the Study:

  • To compare surgical site infection (SSI) rates in pediatric patients undergoing stoma reversal.
  • To evaluate the effectiveness of purse-string versus linear skin closure techniques.

Main Methods:

  • Retrospective data collection from pediatric patients (2016-2019).
  • Comparison of purse-string (31 patients) and linear (45 patients) skin closure methods.
  • Analysis of SSI rates at 30 days post-surgery and overall complications.

Main Results:

  • Lower SSI rates observed in the purse-string group (9.7%) compared to the linear group (31.1%) (p=0.028).
  • Multivariate analysis confirmed significantly lower SSI with purse-string closure (OR 0.21).
  • No significant difference in overall post-operative complications or hospital stay length.

Conclusions:

  • Purse-string closure is associated with significantly lower SSI rates in pediatric stoma reversal.
  • This technique offers a superior skin closure method for reducing infections in children.
  • No increased risk of other complications or prolonged hospital stay was noted.
Abstract

Keywords:
Linear closureOstomy closurePurse stringStoma reversal woundSurgical site infection

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