COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN
Shahnam Askarpour1,2, Mehran Peyvasteh1, Farbod Farhadi1
1Pediatric Surgery, Ahvaz Jundishapur University of Medical Sciences - Ahvaz, Khouzestan, Iran.
Insights
The purse-string colostomy closure technique resulted in fewer infections and shorter hospital stays compared to the linear method. This method also yielded better cosmetic outcomes and reduced scar length for patients.
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.
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.
More Related Videos
09:40An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
09:00Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Related Concept Videos
01:24Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD: