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Surgery Today
Published in: Surgery Today 4/2021

01-04-2021 | Enterostomy | Original Article

A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure

Authors: Kohei Fukuoka, Fumikazu Koyama, Hiroyuki Kuge, Shinsaku Obara, Takayuki Nakamoto, Yosuke Iwasa, Takeshi Takei, Yayoi Matsumoto, Tomomi Sadamitsu, Masayuki Sho

Published in: Surgery Today | Issue 4/2021

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Abstract

Purpose

The purpose of this study was to evaluate the effectiveness of a wound closure method using a combination of subcuticular sutures and subcutaneous closed-suction drainage (SS closure) for preventing incisional surgical site infection (SSI) in loop ileostomy closure.

Methods

A total of 178 consecutive patients who underwent loop ileostomy closure at Nara Medical University Hospital between 2004 and 2018 were retrospectively assessed. The patients were divided into 2 groups: the conventional skin closure (CC) group from 2004 to 2009 (75 patients) and the SS closure (SS) group from 2010 to 2018 (103 patients). The incidence of incisional SSI was compared between the two groups, and the factors associated with incisional SSI were examined by univariate and multivariate analyses.

Results

Incisional SSI occurred in 7 cases (9.3%) in the CC group but was significantly reduced to only 1 case (0.9%) in the SS group (p = 0.034). In the univariate analysis, the hemoglobin levels, serum creatinine levels, and SS closure were associated with incisional SSI. SS closure was the only independent preventive factor for incisional SSI according to the multivariate analysis (hazard ratio = 0.24, p = 0.011).

Conclusion

The combination of subcuticular sutures and subcutaneous closed-suction drainage may be a promising way of preventing incisional SSI in loop ileostomy closure.
Appendix
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Metadata
Title
A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure
Authors
Kohei Fukuoka
Fumikazu Koyama
Hiroyuki Kuge
Shinsaku Obara
Takayuki Nakamoto
Yosuke Iwasa
Takeshi Takei
Yayoi Matsumoto
Tomomi Sadamitsu
Masayuki Sho
Publication date
01-04-2021
Publisher
Springer Singapore
Published in
Surgery Today / Issue 4/2021
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02128-x

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