Tariq Ijaz, Muhammad Kalim.
To Compare Efficacy between Linear & Purse-string Skin Closure after a Loop Ileostomy Reversal.
Ophthalmol Update Jan ;15(4):448-51.

Background: Anostomy is a surgically created opening between a hollow organ and the body surface or between any two hollow organs. Stoma-related complications like infection, prolapse, parastomal hernia, retraction, and high output occur in up to 30% of patients with a stoma. This study is designed to compare efficacy between linear and purse-string skin closure after a loop ileostomy reversal. Objectives: To compare efficacy between linear and purse-string skin closure after a loop ileostomy reversal in terms of infection. Material and Methods: This randomized controlled trial of 12 months duration has been conducted on 204 patients at department of surgery Khyber Teaching Hospital Peshawar by randomly allocated in two groups by lottery method. Patients in group A were subjected to conventional linear closure of ileostomy reversal wound after laparotomy and patients in group B were subjected to purse string closure. Patients were followed for development of surgical site infection after 1 month of surgery. Data was analyzed by SPSS version 10.0. Chi Square test was applied and P-value <= 0.05 was considered significant. Results: In study A- group, 78 (76.47%) patients have normal wound healing and 24 (23.52%)patients developed surgical site infection (SSI) with effectiveness of 76.47%. In study B- group, 91 (89.21%) patients had normal wound healing and 11 (10.72%) patients developed SSI with effectiveness of 89.21%. The difference between two groups was statistically significant in terms of surgical site infection (p value0.016). Conclusion: Purse-string skin closure is more effective than conventional linear closure in terms of surgical site infection.

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