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. 2022 Dec 19:35:e1709.
doi: 10.1590/0102-672020220002e1709. eCollection 2022.

COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN

Shahnam Askarpour  1   2 , Mehran Peyvasteh  1 , Farbod Farhadi  1 , Hazhir Javaherizadeh  2
Affiliations

COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN

Shahnam Askarpour et al. Arq Bras Cir Dig. .

Abstract
in English, Portuguese

Background: Type of ostomy closure has connection with some complications and also cosmetic effects.

Aims: This study aimed to compare result of colostomy closure using purse-string method versus linear method in terms of surgical site infection, surgical time, and patient satisfaction.

Methods: In this study, 50 patients who underwent purse-string ostomy closure and 50 patients who underwent linear closure were included. Two groups were compared for surgical time, wound infection, patient satisfaction, scar length. A p-value <0.05 was considered significant.

Results: Wound infection was not reported among purse-string group compared to 10% in linear group (p=0.022). Scar length was 24.09±0.1 mm in purse string and 52.15±1.0 mm in linear group (p=0.033). Duration of hospital admission was significantly shorter in purse-string group (6.4±1.1 days) compared to linear (15.5±4.6 days, p=0.0001). The Patient and Observer Scar Assessment Scale scale for observer (p=0.038) and parents (p=0.045) was more favorable among purse-string group compared to linear.

Conclusion: Purse-string technique has the less frequent surgical site infection, shorter duration of hospital admission, less scar length, and more favorable cosmetic outcome, compared to linear technique.

RACIONAL:: A técnica de fechamento da ostomia tem relação com algumas complicações e também efeitos estéticos.

OBJETIVOS:: Comparar o resultado do fechamento da colostomia pelo método em bolsa versus método linear, em termos de infecção do sítio cirúrgico, tempo cirúrgico e satisfação do paciente.

MÉTODOS:: Foram incluídos 50 pacientes que não realizaram o fechamento da estomia em bolsa e 50 pacientes que foram submetidos ao fechamento linear. Os dois grupos foram comparados quanto ao tempo cirúrgico, infecção da ferida, satisfação do paciente, comprimento da cicatriz. Valor de p menor que 0,05 foi considerado significativo.

RESULTADOS:: A infecção da ferida não foi registrado no grupo de bolsa, em comparação com 10% no grupo linear (p=0,022). O comprimento da cicatriz foi de 24,09±0,1 mm no grupo de bolsa e 52,15±1,0 mm no grupo linear (p=0,033). O tempo de hospitalização foi significativamente menor no grupo em bolsa (6,4±1,1 dias) em comparação ao linear (15,5±4,6 dias, p=0,0001). A escala Patient and Observer Scar Assessment Scale para observador (p=0,038) e pais (p=0,045) foi mais favorável entre o grupo em bolsa, em relação ao linear.

CONCLUSÕES:: A técnica em bolsa apresentou infecção do sítio cirúrgico menos frequente, menor tempo de internação, menor comprimento da cicatriz e resultado cosmético mais favorável, em comparação com a técnica linear.

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Conflict of interest statement

Conflict of interest: None

Figures

Figure 1
Figure 1. Surgical wound following colostomy closure using purse-string method at (A) 0 day and (B) 1 year.
Figure 2
Figure 2. Closure using linear technique at (A) 0 day and (B) 1 year.
See this image and copyright information in PMC

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