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A technique for wound closure that minimizes sepsis after stoma closure
Author(s) -
Sutton Christopher Derek,
Williams Nigel,
Marshall LeslieJayne,
Lloyd Geraint,
Thomas William Michael
Publication year - 2002
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1046/j.1445-2197.2002.02514.x
Subject(s) - medicine , cellulitis , sepsis , surgery , ileostomy , stoma (medicine) , wound closure , wound infection , incidence (geometry) , closure (psychology) , wound healing , physics , optics , economics , market economy
Background: The aim of the present study was to assess the incidence of wound sepsis following closure of ileostomies and colostomies in our institution. Methods: Circumferential subcuticular wound approximation was used in 51 patients in our institution. Evidence of wound sepsis (assessed by the presence of cellulitis, induration and or purulent discharge) was documented both in the postoperative period and in outpatient follow‐up. Results: A wound infection rate of 0% was achieved, both in the immediate postoperative period and upon 6‐week follow‐up. Conclusions: Circumferential subcuticular wound approximation is, therefore, a safe and efficacious technique for dealing with the skin woundafter stomal closure, virtually abolishing wound sepsis.