The technique for less infectious and earlier healing of stoma closure wound: negative pressure wound therapy with instillation and dwelling followed by primary closure

Yane, Yoshinori; Hida, Jin‐ichi; Makutani, Yusuke; Ushijima, Hokuto; Yoshioka, Yasumasa; Iwamoto, Masayoshi; Wada, Tetsuyuki; Daito, Koji; Tokoro, Tadao; Kawamura, Junichiro

doi:10.1186/s12893-021-01109-2

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Obesity has become a pandemic in modern era 10 associated with detrimental effect on wounds and wound healing leaving the obese patient more susceptible to wound infection and delayed wound healing. 11 Heading to a common procedure in surgery like temporary fecal diversion and delayed reversal of that stoma, with an already estimated high rate of wound infection (Up to 40% in some studies), 12 obesity can worsen the case.…”

Section: Discussionmentioning

confidence: 99%

The “Volcano” Technique vs Primary Closure of Diverting Stoma-Abdominal Wall Defect in Obese Patients; a Prospective Controlled Study

Hamed

Sabry

Azazy

2023

Ain Shams Journal of Surgery

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Background: Surgical site-infection (SSI) is common in abdominal wall wounds at site of stoma take-down, especially in obese patients. The aim of the study is to compare the proposed "Volcano" technique with the classical primary closure in obese patients as regards the incidence of SSI and short-term cosmetic outcome after one month.Patients and method: 20 "Obese" patients with diverting fecal stomas, whose stoma aperture was closed using the "volcano" technique, were compared to the last 20 matched patients, whose stoma aperture was closed using the primary closure technique, from the database as regards the incidence of SSI and the short-term cosmetic outcome of the postoperative wound.Results: One case of SSI was noticed in the study group in comparison to3 cases in the control group. The resulted scar in the study group was smaller and more cosmetically appealing. Conclusion:The "Volcano" technique is feasible with better outcome for cases of stoma reversal.

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Section: Discussionmentioning

confidence: 99%

The “Volcano” Technique vs Primary Closure of Diverting Stoma-Abdominal Wall Defect in Obese Patients; a Prospective Controlled Study

Hamed

Sabry

Azazy

2023

Ain Shams Journal of Surgery

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“…On the other hand, we could not prove the usefulness of shortening the length of hospital stay and shortening the healing period. The combined use of NPWTi-d therapy and delayed primary closure may be useful as a solution to these problems 32 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of negative pressure wound therapy with instillation and dwelling after stoma closure: a retrospective and propensity score matching analysis

Yane

Hida

Chiba

et al. 2022

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The use of temporary diverting stoma has become more common in low colorectal anastomosis to reduce anastomotic complications. Surgical site infection (SSI) at the stoma closure site has been one of the most frequent postoperative complications. The aim of this study was to compare the short-term outcomes between conventional primary suture closure and negative pressure wound therapy with instillation and dwelling (NPWTi-d) therapy following purse-string suturing, using propensity score matching analysis. We retrospectively evaluated the medical records of 107 patients who underwent stoma closure between January 2016 and October 2020. The primary outcome was the proportion of SSI. The secondary outcome was the day of postoperative length of stay. Propensity score matching with one-to-one match was performed for reducing treatment selection bias. Of a total of 107 patients, 67 patients had been treated with conventional primary closure and 40 with NPWTi-d therapy. The propensity score matching derived 37 pairs. The respective SSI proportions were 0% and 16.2% in the groups with NPWTi-d and primary closure (P = 0.025). The respective median days of postoperative hospital stay were 9.0 and 10.0 in the groups with NPWTi-d and primary closure (P = 0.453). NPWTi-d therapy with purse-string suturing was effective in reducing SSI after stoma closure.

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Risk factor for the development of surgical site infection following ileostomy reversal: a single-center report

et al. 2022

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The technique for less infectious and earlier healing of stoma closure wound: negative pressure wound therapy with instillation and dwelling followed by primary closure

Cited by 3 publications

References 21 publications

The “Volcano” Technique vs Primary Closure of Diverting Stoma-Abdominal Wall Defect in Obese Patients; a Prospective Controlled Study

The “Volcano” Technique vs Primary Closure of Diverting Stoma-Abdominal Wall Defect in Obese Patients; a Prospective Controlled Study

Effectiveness of negative pressure wound therapy with instillation and dwelling after stoma closure: a retrospective and propensity score matching analysis

Risk factor for the development of surgical site infection following ileostomy reversal: a single-center report

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