چاپ مقاله جناب آقای دکتر بابک قره داغی در Annals of Coloproctology
Purse-String Versus Linear Conventional Skin Wound Closure of an Ileostomy: A Randomized Clinical Trial (© 2016 The Korean Society of Coloproctology )
| Ann Coloproctol. 2016 Aug;32(4):144-149. English. Published online August 31, 2016. https://doi.org/10.3393/ac.2016.32.4.144 | |
| © 2016 The Korean Society of Coloproctology | |
| Purse-String Versus Linear Conventional Skin Wound Closure of an Ileostomy: A Randomized Clinical Trial | |
Mina Alvandipour, Babak Gharedaghi,1 Hamed Khodabakhsh,2 and Mohammad Yasin Karami 3 | |
| Department of Colorectal Surgery, Mazandaran University of Medical Sciences, Sari, Iran. | |
| 1Department of General Surgery, Mazandaran University of Medical Sciences, Sari, Iran. | |
| 2Department of Emergency Medicine, Mazandaran University of Medical Sciences, Sari, Iran. | |
| 3Student Research Committee, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. | |
| Correspondence to: Mohammad Yasin Karami, M.D. Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran. Tel: +98-9171800710, Fax: +98-7132330724, | |
| Received January 09, 2016; Accepted July 14, 2016. | |
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. | |
Abstract | |
Purpose Infection is one of the most frequent complications that can occur after ileostomy closure. The incidence of wound infection depends on the skin closure technique, but there is no agreement on the perfect closure method for an ileostomy wound. The aim of this study was to evaluate the incidence of infection, the patients approval, and the patients pain between purse-string closure (PSC) and the usual linear closure (LC) of a stoma wound. Methods This randomized clinical trial enrolled 66 patients who underwent a stoma closure from February 2015 to May 2015 in Sari Emam Khomeini Hospital. Patients were divided into 2 groups according to the stoma closing method: the PSC group (n = 34) and the LC group (n = 32). The incidences of infection for the 2 groups were compared, and the patients satisfaction and pain with the stoma were determined by using a questionnaire. Results Infection occurred in 1 of 34 PSC patients (2.9%) and in 7 of 32 LC patients (21.8%), and this difference was statistically significant (P = 0.021). Patients in the PSC group were more satisfied with the resulting wound scar and its cosmetic appearance at one month and three months after surgery (P = 0.043). Conclusion After stoma closure, PSC was associated with a significantly lower incidence of wound infection and greater patient satisfaction compared to LC. However, the healing period for patients who underwent PSC was longer than it was for those who underwent LC. | |
Keywords: Surgical stoma; Ileostomy; Closure; Infection; Patient satisfaction
"روابط عمومی مرکز آموزشی درمانی امداد شهید بهشتی سبزوار" | |
نظر دهید