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

Abstract

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.