Single‐centre experience of loop ileostomy closure: a retrospective comparison of conventional‐linear closure and purse‐string closure on surgical‐site‐infection rates

• Published in: ANZ journal of surgery 2023-03, Vol.93 (3), p.629-635
• Main Authors: Nyandoro, Munyaradzi G., Seow, Yi Th'ng, Stein, Joel, Theophilus, Mary
• Format: Article
• Language: English
• Subjects: Betadine; conventional‐linear closure; Demographics; Humans; Ileostomy; Ileostomy - methods; Infections; Infectious diseases; Male; Morbidity; Ostomy; Patients; Povidone-Iodine; purse‐string closure; Retrospective Studies; Risk; Strings; Surgery; Surgical site infections; Surgical Wound Infection - epidemiology; Surgical Wound Infection - prevention & control; surgical‐site‐infection; Suture Techniques
• ISSN: 1445-1433; 1445-2197
• DOI: 10.1111/ans.18083

Background The closure of ileostomy is associated with significant morbidity, the most common being surgical site infection (SSI), ranging up to 41%. This study compared the stoma site SSI rates after either the conventional‐linear closure (CLC) or purse‐string closure (PSC). Methods The study conducted a single‐centre retrospective cohort study of elective loop‐ileostomy closures from June 2015 to January 2021. Patient demographics, surgical techniques and outcomes, including SSI rates, were analysed using SPSS ver.27. Results Hundred and six patients underwent loop‐ileostomy closure, 91.5% (n = 97) had CLC of which 67% (n = 65) were stapled. Male patients comprise 67.9%, with a median age of 62. The median BMI was 27. The median surgical time, LOS and interval time to closure were 66 min, 4.5 days and 5.5 months, respectively. The SSI rate was 19.6% (n = 19) for CLC and 11.1% (n = 1) for PSC. The SSI rate was significantly reduced to 3.7% (P