Comparative study of linear closure technique versur purse string closure technique of skin closure in stoma reversal.

  • M. Rehman Gulzar DHQ Hospital Faisalabad.
  • Faiqa Aslam DHQ Hospital Faisalabad.
  • Muhammad Umar Farooq DHQ Hospital Faisalabad.
  • Shahbaz Ahmad DHQ Hospital Faisalabad.
  • Sabeen Adil DHQ Hospital Faisalabad.
  • Shuja Tahir DHQ Hospital Faisalabad.
Keywords: Linear, Purse String, Stoma, Surgical Site Infection, Wound Length, Wound Healing

Abstract

Objectives: To compare the results of linear closure technique with purse string closure technique in terms of surgical site infection, wound healing (scar cosmesis) and wound length. Study Design: Comparative Study. Setting: Surgical Unit V, Faisalabad Medical University, Faisalabad. Period: January 2016 to January 2019. Material & Methods: A total of 100 patients were operated in our unit during the study period & were allocated into two groups randomly: Group A (Linear closure) Group B (Purse string closure) included 50 patients in each group. The primary outcome measures were, surgical site infection, wound healing (scar cosmesis) and wound length. Results: During follow up period Surgical site infection was noted in 17 patients out of 100 with 14 patients in Group A and 03 Patients in Group B (p value 0.002). Regarding wound healing 60% patients were having good scar and 20% patients were having satisfactory and 20% having poor scar in Group A. while in Group B 82% patients were having good scar and 18% patients were having satisfactory scar (p value 0.00). Mean wound length in Group A was 5.14 with SD 1.2978 while in Group B mean length was 3.8 with SD 1.3095. Conclusion: Our study concludes that purse string closure is superior to linear closure technique in terms of surgical site infection, wound healing (scar cosmesis) and wound length.

Author Biographies

M. Rehman Gulzar, DHQ Hospital Faisalabad.

FCPS

Associate Professor Surgery

 

Faiqa Aslam, DHQ Hospital Faisalabad.

FCPS

Senior Registrar Surgery

 

Muhammad Umar Farooq, DHQ Hospital Faisalabad.

FCPS

Senior Registrar Surgery

 

Shahbaz Ahmad, DHQ Hospital Faisalabad.

FCPS

Assistant Professor Surgery

 

Sabeen Adil, DHQ Hospital Faisalabad.

FCPS

Senior Registrar General Surgery

 

Shuja Tahir, DHQ Hospital Faisalabad.

MBBS (PGR)

PG Trainee Cardiac Surgery

 

Published
2020-05-10