Routine practice needs shifting from linear to purse-string skin closure in closure of stoma sites

Comment on: Routine practice needs shifting from linear to purse-string skin closure in closure of stoma sites

“…We thank Hajibandeh et al for their interest in our work and their comment [1] related to our recent publication "Metaanalysis and single-center experience on the protective effect of negative suction drains on wound healing after stoma reversal." [2] Regarding their remark in respect to the differences in wound healing complications following purse string vs. primary closure, we have to state that this comparison was not part of our analysis.…”

The Available Evidence on Outcomes of Early versus Routine Stoma Closure Following Colorectal Resection Is Subject to Type 1 and 2 Errors. We Need More Randomised Controlled Trials

“…We have previously demonstrated that the risk of surgical site infection is significantly higher when linear skin closure is used but purse-string skin closure technique has not become the routine practice yet. 2,3 On the other hand, considering that the colorectal cancer was one of the main indications for initial colorectal resection, it is not clear from the available data whether the stoma was closed while the patient was on adjuvant chemotherapy or not. Although it has been shown that closure of stoma during adjuvant chemotherapy may not influence the postoperative outcomes, the available evidence is very limited.…”