A Study of Surgical Site Infections and Other Surgical Complications Related to Stoma Closure

DOI

Bibliographic Information

Other Title
  • ストーマ閉鎖術における手術部位感染を含めた術後合併症に関する検討

Search this article

Description

Purpose:To analyze surgical site infections （SSIs） and other complications after stoma closure.<br> Methods:The subjects were patients who underwent loop stoma closure between 2010 and 2019 in our institution. SSIs and other postoperative complications were analyzed, particularly their relationships to skin closure methods.<br> Results:The subjects were 54 patients （median age:68 years, 31 males）. Their stomas had been created at the transverse colon in 33, the ileum in 19, and the sigmoid colon in 2.Regarding the anastomotic procedure, an instrumental functional end-to-end anastomosis and a hand-sewn anastomosis were performed in 33 and 21 cases, respectively. As for skin closure methods, purse-string approximation, semi-closure, and Benz mark methods were used in 48, 4, and 2 cases, respectively. SSIs occurred in 9.3％ , accounting for 42％ of all complications. The SSI incidence was lower in purse-string approximation （8.3％） than in semi-closure（ 25％）, although the difference was not significant. Postoperative hospital stay was significantly longer in patients with SSIs than in those without complications （median 18 vs 10 days, p＝0.0003）. Risk factors for SSI could not be identified.<br> Conclusions:The incidence of SSI was 8.3％ when the purse-string approximation method was used for skin closure. The postoperative hospital stay was significantly prolonged by 8 days when SSIs occurred.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top