The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial
Topic overview
Randomized trial of 124 pediatric patients demonstrates purse-string closure significantly reduces surgical site infections (14.5% vs 38.7%) and improves scar cosmesis compared to conventional linear closure after stoma reversal. The technique's drainage capability appears to lower infection risk while delivering superior aesthetic outcomes.
Key takeaways
- Purse-string closure reduces surgical site infection rates in stoma reversal from 38.7% to 14.5% compared to conventional linear closure.
- Purse-string technique achieves 'good' scar quality in 63% of patients versus only 22.6% with linear closure (Manchester scar scale).
- The purse-string method's inherent drainage capability likely accounts for lower SSI rates by preventing wound exudate accumulation.
- Both closure techniques result in similar hospital length of stay, making purse-string a viable alternative without added recovery time.
- 124-patient RCT demonstrates purse-string closure as superior option for pediatric stoma reversal regarding infection prevention and cosmesis.
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