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Gunsight sutures significantly reduce surgical-site infection after ileostomy reversal compared with linear sutures

Gastroenterology Report 2021年第4期9卷 357-362,I0002,I0003页

作者： Chuang-Kun Li Wei-Wen Liang Huai-Ming Wang Wen-Tai Guo Xiu-Sen Qin Jie Zhao Wen-Bin Zhou Yang Li Hui Wang Rong-Kang Huang Department of Colorectal Surgery the Sixth Affiliated HospitalSun Yat-sen UniversityGuangzhouGuangdongP.R.China Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases The Sixth Affiliated Hospital of Sun Yat-sen UniversityGuangzhouGuangdongP.R.China

Background:Surgical-site infection(SSI)was one of the most common post-operative morbidities of ileostomy *** several skin-closure procedures had been developed to reduce the rate of SSI,the optimal procedure remains *** this study,we compared the effect of two surgical techniques for wound closure following ileostomy reversal:gunsight suture(GS)and linear suture(LS).Methods:A total of 233 patients who underwent loop ileostomy at the Sixth Affiliated Hospital of Sun Yat-sen University between January 2015 and December 2017 were enrolled into our *** patients were divided into two groups:the LS group and the GS *** compared the clinical characteristics between the two groups and analyzed the data using IBM SPSS to identify risk factors for ***:Both groups successfully underwent *** rate of SSI was significantly lower in the GS group(n=2,0.02%)than in the LS group(n=16,12.00%,P=0.007).The length of hospital stay after the operation in the GS group was significantly shorter than that in the LS group(8.163.2 vs 10.865.4 days,P<0.001).Multivariate analysis showed that GS was an independent protective risk factor for SSI(odds ratio=0.212,P=0.048).Conclusions:Compared with the LS technique,the GS technique can significantly decrease the rate of SSI and shorten the length of hospital stay after *** GS technique may be recommended for wound closure following ileostomy reversal.

关键词： ileostomy reversal linear suture gunsight suture surgical-site infection

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