COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN

Area of Science:

• Surgical innovation
• Colorectal surgery outcomes
• Wound healing research

Background:

• Ostomy closure techniques impact surgical complications and cosmetic results.
• Evaluating different methods for colostomy closure is crucial for patient outcomes.

Purpose of the Study:

• To compare purse-string versus linear colostomy closure methods.
• Assess differences in surgical site infection, surgical time, and patient satisfaction.

Main Methods:

• A comparative study involving 100 patients (50 purse-string, 50 linear closure).
• Key metrics included surgical time, wound infection rates, patient satisfaction, and scar length.
• Statistical significance was determined using a p-value <0.05.

Main Results:

• The purse-string group had no reported wound infections versus 10% in the linear group (p=0.022).
• Scar length was significantly shorter in the purse-string group (24.09±0.1 mm vs. 52.15±1.0 mm, p=0.033).
• Hospital admission duration was shorter for purse-string closure (6.4±1.1 days vs. 15.5±4.6 days, p=0.0001), with more favorable cosmetic assessments.

Conclusions:

• Purse-string colostomy closure demonstrates superior outcomes.
• This technique leads to reduced surgical site infections, shorter hospital stays, and improved cosmetic results compared to linear closure.