Primary Versus Delayed Skin Closure In Patients With Stoma Reversal

Abstract

Objective •

To find out the rate of wound infection in primary versus delayed skin closure after intestinal stoma reversal.

Study design

Comparative study.

Place & Duration of study

Department of Surgery, Dow Medical College, Ruth KM Pfau Civil Hospital Karachi, from February  2018 to February  2019.

Methodology

This comparative study was done on 142 patients aged between 18-65 years at Civil Hospital Karachi. Patients were randomized to two groups of 71 patients each. In one group, skin was closed primarily after reversal of stoma, whereas delayed closure of skin was employed for the other group.

Results

There was no significant difference between age, gender and length of hospital stay among the two groups. In primary closure group 2.9% patients developed the surgical site infection and 7% in delayed closure group after intestinal stoma reversal that was statistically non-significant.

Conclusion

No significant difference was observed in the rate of wound infection for primary skin closure technique and delayed closure of skin technique after intestinal stoma reversal.

Key words

Stoma reversal, Primary skin closure technique, Delayed closure of wound, Wound Contamination.