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Br J Surg. 2010 Oct;97(10):1511-7. doi: 10.1002/bjs.7151.

Randomized clinical trial of short-term outcomes following purse-string versus conventional closure of ileostomy wounds.

Author information

1
Department of Colorectal Surgery, John Hunter Hospital, New South Wales, Australia.

Abstract

BACKGROUND:

Ileostomy closure is an operation with an underappreciated morbidity, including surgical-site infection, small bowel obstruction and anastomotic leakage. Surgical-site infections, in particular, are a frequent occurrence following closure of contaminated wounds. This randomized controlled trial compared a purse-string closure technique with conventional linear closure.

METHODS:

Sixty-one patients were randomized to conventional or purse-string closure of ileostomy wounds. The primary endpoint was the incidence of surgical-site infection, including infections requiring hospital or community treatment.

RESULTS:

Purse-string closure resulted in fewer surgical-site infections than conventional closure: two of 30 versus 12 of 31 respectively (P = 0.005).

CONCLUSION:

The purse-string method results in a clinically relevant reduction in surgical-site infections after ileostomy closure.

REGISTRATION NUMBER:

ACTRN12609000021279 (Australian New Zealand Clinical Trials Registry: http://www.anzctr.org.au/).

PMID:
20575111
DOI:
10.1002/bjs.7151
[Indexed for MEDLINE]

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