Evidence map›Paper›PMID 34546402›Full record

ArticlePediatric surgery international2022

A comparison of surgical site infections in children after stoma reversal between purse-string and linear closure.

Chanathip Sayuen, Ratiyaporn Phannua, Sinobol Chusilp, Patchareeporn Tanming, Suchat Areemit, Katawaetee Decharun, Paisarn Vejchapipat, Kanokrat Thaiwatcharamas

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Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Chanathip SayuenDepartment of Surgery, Khon Kaen University, Khon Kaen, 40002, Thailand.
Ratiyaporn PhannuaDepartment of Surgery, Khon Kaen University, Khon Kaen, 40002, Thailand.
Sinobol ChusilpDepartment of Surgery, Khon Kaen University, Khon Kaen, 40002, Thailand.
Patchareeporn TanmingDepartment of Surgery, Khon Kaen University, Khon Kaen, 40002, Thailand.
Suchat AreemitDepartment of Surgery, Khon Kaen University, Khon Kaen, 40002, Thailand.
Katawaetee DecharunDepartment of Surgery, Chulalongkorn University, Bangkok, 10330, Thailand.
Paisarn VejchapipatDepartment of Surgery, Chulalongkorn University, Bangkok, 10330, Thailand.
Kanokrat ThaiwatcharamasDepartment of Surgery, Khon Kaen University, Khon Kaen, 40002, Thailand. Kanoth@kku.ac.th.ORCID http://orcid.org/0000-0001-7769-6884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo reduce the surgical site infections (SSI), the purse-string closure technique has been widely performed and has also been recommended in adult stoma reversal. However, for children, some debate still exists. This study aims to compare the SSI rates in children between the purse-string and the linear for the skin closure of stoma reversal.

methodsThe data were collected from pediatric patients, who had undergone either purse-string or linear closure for elective surgery of stoma reversal from two university hospitals between January 2016 and December 2019.

resultsThe purse-string and linear closure had been performed on 31 and 45 patients, respectively. At 30 days after surgery, three patients in the purse-string closure group had developed SSI compared to 14 patients in the linear closure group (9.7 vs. 31.1%, p = 0.028). Furthermore, there had been no significant difference in the overall post-operative complications. In multivariate analysis, the SSI had been significantly lower in patients with purse-string closure (OR 0.21, 95% CI 0.05-0.86, p = 0.029).

conclusionBy employing the purse-string closure technique for skin closure of stoma reversal, there had been a significantly lower SSI rate compared to linear closure with no difference in the length of hospital stay.

Indexed as

Surgical StomasSurgical Wound InfectionAdultChildColostomyHumansIleostomyLength of StaySuture TechniquesLinear closureOstomy closurePurse stringStoma reversal woundSurgical site infection

Identifiers

PMID34546402

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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.