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Related Concept Videos

Ostomy Care01:24

Ostomy Care

313
Introduction
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:
313
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
149
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

200
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
200

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Updated: Jul 12, 2025

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The modified cross-suture technique for loop stoma reversal.

Lixiao Zhang1, Hongyu Zhao1, Lifei Zhang1

  • 1Department of Gastrointestinal Surgery, Hebei General Hospital, Shijiazhuang, Hebei Province, China.

Asian Journal of Surgery
|November 1, 2023
PubMed
Summary

A modified cross-suture technique for loop stoma reversal offers improved outcomes. This method may decrease postoperative infections and pain, enhancing patient recovery.

Keywords:
Loop stoma reversalSurgical wound infectionSuture technique

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Area of Science:

  • Surgical Techniques
  • Gastrointestinal Surgery

Background:

  • Loop stoma reversal procedures can be associated with postoperative complications.
  • Effective wound management is crucial for successful stoma reversal outcomes.

Purpose of the Study:

  • To introduce and evaluate a modified cross-suture technique for loop stoma reversal.
  • To assess the efficacy of this technique in reducing postoperative complications such as infection and pain.

Main Methods:

  • A four-pointed star-shaped incision was utilized for skin separation around the stoma.
  • Intestinal continuity was restored via side-to-side or end-to-side anastomosis.
  • A modified cross-suture technique involving specific suturing of fascial layers and skin, with a central drainage hole and rubber strip, was employed.

Main Results:

  • The technique incorporates a central small hole and rubber strip for early fluid drainage.
  • Cross-stitching of the skin incision was shown to effectively reduce local tension.
  • The modified technique facilitates wound healing and reduces complications.

Conclusions:

  • The modified cross-suture technique is a potentially beneficial approach for loop stoma reversal.
  • This method may lead to a reduction in postoperative incision infections and associated pain.
  • The technique represents a suitable option for managing incisions during loop stoma reversal.