ILEOSTOMY STOMA WOUND

PURSE-STRING CLOSURE

Abstract

Objective: The objective of the study was to compare the frequency of infection
in stoma site skin wound closure done by purse string suture and linear suturing techniques.
Study Design: Randomized control trial. Setting: Surgical Unit-I, Allied Hospital, Punjab
Medical College, Faisalabad. Duration: From 1st Jan, 2014 to 31st March, 2015 (15 Months).
Material and Methods: Total number of sixty patients of both sexes with benign disease were
included using non-probability consecutive sampling technique after approval from hospital
ethics committee. All patients were admitted through OPD and a written informed consent was
taken. They were divided into two groups (30 each). The two techniques of ileostomy stoma
wound closure used were linear closure and purse-string closure. Data was analyzed using
SPSS v10. Chi-square test was used to compare the outcome (wound infection) in both groups.
P-value less than 0.05 was taken as significant. Results: Comparison of infection in stoma
site skin wound closure done by purse string suture and linear suturing techniques was done
which shows presence of infection in 36.67%(n=11) in Linear closure and 10%(n=3) in Pursestring
closure group while remaining 63.33% (n=19) and 90%(n=27) respectively case had no
infection, p value was calculated as 0.01 which shows a significant difference. Conclusions:
The frequency of infection in stoma site skin wound closure done by purse-string suturing
technique is significantly less than linear suturing technique.