A beneficial effect of purse-string skin closure after ileostomy takedown: A retrospective cohort study

作者：Suh Yong Joon; Park Ji Won^*; Kim Yong Sok; Park Sung Chan; Oh Jae Hwan

来源：International Journal of Surgery, 2014, 12(6): 615-620.

DOI：10.1016/j.ijsu.2014.04.008

• Ileostomy
• Abdominal wound closure techniques
• Surgical wound infection

Objectives: The aim of this study was to investigate the clinical benefits of purse-string skin closure (PS) in daily practice compared with conventional linear skin closure (CL) after ileostomy takedown in Korean population.
Methods: These retrospectively collected data were based on 157 consecutive patients who underwent ileostomy takedown between November 2010 and September 2011. Before March, 2011, CL was performed in 79 patients. Thereafter, PS was performed in 78 patients. The medical records including pain score recorded daily were reviewed and the postoperative outcomes, including SSI, were analyzed.
Results: PS group had a significantly lower overall complication rate than the CL group (8.97% vs. 25.32%, p = 0.010). Among complications, PS group had a significantly lower SSI rate than the CL group (0% vs. 11.39%, p = 0.003). After adjusted for other risk factors (smoking, body mass index, anastomosis method), PS method was associated significantly and independently with a lower SSI rate than CL method (adjusted odds ratio: 26.63, 95% confidence interval: 3.02-267.70, p = 0.001). And the two groups did not differ in terms of postoperative pain (p = 0.323) or pain pattern (p = 0.548).
Conclusion: In daily practice, PS had a beneficial effect on SSI in patients who underwent ileostomy takedown in the Korean population.

• 出版日期2014