Comparison of Purse String Closure Versus Primary Linear Closure with Closed Suction Wound Drain Following Ileostomy Stoma Reversal in Terms of Stoma Site Infection and Cosmetic Outcomes
DOI:
https://doi.org/10.51253/pafmj.v76i2.10090Keywords:
Infection, Ileostomy Reversal, Primary Linear Closure, Purse String Closure, StomaAbstract
Objective: To compare “purse string closure” versus “primary linear closure with closed suction wound drain” following ileostomy stoma reversal in terms of stoma site infection and cosmetic outcomes.
Study Design: Quasi-experimental study
Place and Duration of Study: Department of General Surgery, Combined Military Hospital Rawalpindi, Pakistan from May 2022 to Feb 2023.
Methodology: Patients who were scheduled to be operated on elective list for the reversal of their ileostomy stoma were included in the study. Patients were randomly divided into “purse string closure” group (Group-A) and “primary linear closure with closed suction wound drain” group (Group-B). Patients were called for physical follow up on day 30 after the surgery to assess them for presence of “stoma site infection” and “cosmetic outcome”.
Results: Mean age of our study pool was 30.76±8.09 years. There were 68(72.30%) male participants while remaining 26(27.70%) participants were female. Composite frequency of stoma site infection in our study was 7(7.40%). Frequency of stoma site infection in Group-A was 1(2.12%) while in Group-B it was 6(12.76%), (p = 0.049). median POSAS score in Group-A was 2.00 (1-4) while in Group-B, median POSAS score was 3.00 (2-4), (p = 0.004).
Conclusion: Purse string closure technique for reversal of ileostomy is a better alternative to primary linear closure with application of closed suction drain on the operative wound, both in terms of stoma site infection as well as cosmetic outcome.
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Copyright (c) 2026 Muhammad Danial Yousaf, Khalid Mahmood, Muhammad Saqlain, Waleed Umer, Muhammad Imran, Umer Naeem
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