SynthesisInternational journal of colorectal disease2018
Purse-string skin closure versus linear skin closure techniques in stoma closure: a comprehensive meta-analysis with trial sequential analysis of randomised trials.
Synthesis in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Pooled it
- Circular (purse-string) vs primary skin closure following stoma closure: an up-to-date systematic review and meta-analysis.Techniques in coloproctology · 2025Pooled it
- Purse-string skin closure versus linear skin closure in people undergoing stoma reversal.The Cochrane database of systematic reviews · 2024Pooled it
- Meta-analysis and single-center experience on the protective effect of negative suction drains on wound healing after stoma reversal.International journal of colorectal disease · 2020Pooled it
- Meta-analysis of temporary loop ileostomy closure during or after adjuvant chemotherapy following rectal cancer resection: the dilemma remains.International journal of colorectal disease · 2019Pooled it
- Impact of different skin suturing methods on patient prognosis after ileostomy closure.World journal of gastrointestinal surgery · 2025Trial
- Negative-pressure wound therapy after stoma reversal in colorectal surgery: a randomized controlled trial.BJS open · 2021Trial
- Gunsight closure versus conventional techniques for reversal of protective stoma after rectal cancer surgery: a propensity score matching study.International journal of colorectal disease · 2026Article
- Negative pressure wound therapy for preventing wound complications following stoma reversal: A systematic review and meta-analysis of randomized controlled trials.Asia-Pacific journal of oncology nursing · 2025Review
- Primary closure of ileostomy site after irrigation with betaine-polyhexanide: a case series.Journal of surgical case reports · 2025Article
- Surgical site infection reduction bundle in stoma closure: A retrospective cohort study.Surgery in practice and science · 2025Article
- Diverting ileostomy in benign colorectal surgery: the real clinical cost analysis.Updates in surgery · 2024Article
- Timing of Loop Ileostomy Closure Does Not Play a Pivotal Role in Terms of Complications-Results of the Liquidation of iLEOstomy (LILEO) Study.Journal of personalized medicine · 2024Article
- Early diverting stoma closure is feasible and safe: results from a before-and-after study on the implementation of an early closure protocol at a tertiary referral center.Techniques in coloproctology · 2024Article
- A case series of prophylactic negative pressure wound therapy use with purse-string closure in stoma closure wounds in infants.Surgical case reports · 2024Article
- Clinical Benefits of Reducing Dead Space Using a Closed Suction Drain and Subcutaneous Large-bite Buried Suture Technique to Prevent Superficial Surgical-site Infections Following Primary Closure of a Diverting Stoma.Journal of the anus, rectum and colon · 2024Article
- The effectiveness of negative-pressure wound therapy for wound healing after stoma reversal: a randomized control study.Annals of surgical treatment and research · 2023Article
- Comparison of modified gunsight suture technique and traditional interrupted suture in enterostomy closure.World journal of gastroenterology · 2023Article
- Usefulness of vacuum-assisted closure after stoma closure with purse string suturing: a retrospective trial.Fujita medical journal · 2022Article
- Closed-wound negative pressure therapy dressing after loop ostomy closure: a retrospective comparative study.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare purse-string skin closure (PSC) and linear skin closure (LSC) techniques in patients undergoing stoma closure
methodsWe conducted a systematic review of literature and meta-analysis of outcomes according to PRISMA statement standards to compare PSC and LSC techniques in stoma closure. Trial sequential analysis (TSA) was performed to assess the possibility of type I or II error and compute the information size required for conclusive meta-analysis.
resultsWe identified six randomised controlled trials (RCTs) and eight observational studies, enrolling a total of 1102 patients. The included populations in the PSC and LSC groups were comparable in terms of baseline characteristics. The risk of surgical site infection (SSI) was significantly lower in the PSC group (OR 0.10; 95% CI 0.06, 0.18; P < 0.00001). There was no difference between the two groups in terms of operative time (MD 1.80; 95% CI - 1.35, 4.96; P = 0.26), anastomotic leak (OR 0.73; 95% CI 0.21, 2.48; P = 0.61), incisional hernia (OR 0.59; 95% CI 0.25, 1.37; P = 0.22), small bowel obstruction (OR 0.96, 95% CI 0.50, 1.86; P = 0.91), and length of hospital stay (MD - 0.04; 95% CI - 0.51, 0.42; P = 0.86). Patient satisfaction was higher in the PSC group. TSA showed that the risk of type 1 error was minimal and meta-analysis was conclusive.
conclusionsPSC is associated with significantly lower risk of SSI and better patient satisfaction compared with LSC in closure of stomas and should be the closure technique of choice. The current available evidence is robust and conclusive highlighting that the results of the current study should be incorporated into clinical practice without a need for further trial data.
Indexed as
Identifiers
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Registered trials
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