Wound Infection After Ileostomy Closure Can Be Eliminated by Circumferential Subcuticular Wound Approximation

• DOI: 10.1007/dcr.0b013e31819acc90
• Publication Date: 2011-04-07T17:13:57Z
• Authors: Siamak Milanchi; Yosef Nasseri; Travis Kidner; Phillip Fleshner
• Keywords: Ileostomy; Closure (psychology); Wound Closure

PURPOSE: Wound infections after ileostomy closure are common with primary of the skin. Although this risk can be reduced by secondary closure, cosmetic outcomes less than desirable. In an effort to balance these issues, we have used circumferential subcuticular wound approximation decrease size. This study compares vs. closure. METHODS: Forty-nine consecutive patients undergoing over 18-month period were reviewed. During first half study, all sites underwent while during second approximation. Short-term tabulated including infection. Long-term assessed using a novel six-point patient satisfaction scale. RESULTS: Primary was performed in 25 and 24 patients. No occurred group, compared 40 percent infection rate observed group (P = 0.002). The mean score higher (18.4) (15.9; P > 0.05). CONCLUSIONS: Circumferential associated significantly lower incidence A trend present toward better results for