Trial reportSurgery today2019
Purse-string approximation vs. primary closure with a drain for stoma reversal surgery: results of a randomized clinical trial.
Trial report in Surgery today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Purse-string skin closure versus linear skin closure in people undergoing stoma reversal.The Cochrane database of systematic reviews · 2024Pooled it
- Effectiveness of negative pressure wound therapy for the wound of ileostomy closure: a multicenter, phase II randomized controlled trial.BMC surgery · 2021Trial
- Comparison of purse-string technique versus linear suture for skin closure after stoma reversal: a meta-analysis of high-quality studies.Annals of coloproctology · 2025Review
- 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
- Surgical Site Infection After Stoma Reversal: A Comparison Between Linear and Purse-String Closure.Cureus · 2023Article
- Comparison of modified gunsight suture technique and traditional interrupted suture in enterostomy closure.World journal of gastroenterology · 2023Article
- Laparoscopic versus open loop ileostomy reversal: A systematic review and meta-analysis.Surgery in practice and science · 2023Article
- Effectiveness of negative pressure wound therapy with instillation and dwelling after stoma closure: a retrospective and propensity score matching analysis.Scientific reports · 2022Article
- Gunsight sutures significantly reduce surgical-site infection after ileostomy reversal compared with linear sutures.Gastroenterology report · 2021Article
- Article
- Review
Corrections and comments
- Erratum issuedCorrection to: Purse-string approximation vs. primary closure with a drain for stoma reversal surgery: results of a randomized clinical trial.2019 · Amamo, Kunihiko [corrected to Amano, Kunihiko]
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeStoma reversal carries a risk of surgical site infection (SSI). Purse-string approximation (PSA) has been reported as an attractive alternative to conventional primary wound closure for stoma reversal, but its efficacy is still under debate.
methodsPatients undergoing elective stoma reversal were randomized to undergo PSA or primary closure with a drain (PCD). All patients received preoperative bowel cleansing and antimicrobial prophylaxis. The primary endpoint was the incidence of wound healing at the stoma site 30 days after surgery. The secondary endpoint was the 30-day SSI rate after surgery.
resultsA total of 159 patients (PCD group, n = 79; PSA group, n = 80) were eligible for this study. The incidence of wound healing at the stoma site was 92.4% in the PCD group and 62.5% in the PSA group [difference (95% confidence interval - 29.9% (- 42.9 to - 16.9%)]. The 30-day SSI rate at the stoma site, as the secondary endpoint, was 8.9% in the PCD group and 5.0% in the PSA group (P = 0.35).
conclusionsThese results suggest that PCD may remain the standard procedure for stoma reversal surgery.
Indexed as
Identifiers
30367238What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.