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Jun Chul Jung 2 Articles
Conventional Linear versus Purse-string Skin Closure after Loop Ileostomy Reversal: Comparison of Wound Infection Rates and Operative Outcomes
Jung Ryeol Lee, Young Wan Kim, Jong Je Sung, Ok-Pyung Song, Hyung Chul Kim, Cheol-Wan Lim, Gyu-Seok Cho, Jun Chul Jung, Eung-Jin Shin
J Korean Soc Coloproctol. 2011;27(2):58-63.   Published online April 30, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.2.58
  • 6,839 View
  • 63 Download
  • 31 Citations
AbstractAbstract PDF
Purpose

Wound infection after an ileostomy reversal is a common problem. To reduce wound-related complications, purse-string skin closure was introduced as an alternative to conventional linear skin closure. This study is designed to compare wound infection rates and operative outcomes between linear and purse-string skin closure after a loop ileostomy reversal.

Methods

Between December 2002 and October 2010, a total of 48 consecutive patients undergoing a loop ileostomy reversal were enrolled. Outcomes were compared between linear skin closure (group L, n = 30) and purse string closure (group P, n = 18). The operative technique for linear skin closure consisted of an elliptical incision around the stoma, with mobilization, and anastomosis of the ileum. The rectus fascia was repaired with interrupted sutures. Skin closure was performed with vertical mattress interrupted sutures. Purse-string skin closure consisted of a circumstomal incision around the ileostomy using the same procedures as used for the ileum. Fascial closure was identical to linear closure, but the circumstomal skin incision was approximated using a purse-string subcuticular suture (2-0 Polysorb).

Results

Between group L and P, there were no differences of age, gender, body mass index, and American Society of Anesthesiologists (ASA) scores. Original indication for ileostomy was 23 cases of malignancy (76.7%) in group L, and 13 cases of malignancy (77.2%) in group P. The median time duration from ileostomy to reversal was 4.0 months (range, 0.6 to 55.7 months) in group L and 4.1 months (range, 2.2 to 43.9 months) in group P. The median operative time was 103 minutes (range, 45 to 260 minutes) in group L and 100 minutes (range, 30 to 185 minutes) in group P. The median hospital stay was 11 days (range, 5 to 4 days) in group L and 7 days (range, 4 to 14 days) in group P (P < 0.001). Wound infection was found in 5 cases (16.7%) in group L and in one case (5.6%) in group L (P = 0.26).

Conclusion

Based on this study, purse-string skin closure after a loop ileostomy reversal showed comparable outcomes, in terms of wound infection rates, to those of linear skin closure. Thus, purse-string skin closure could be a good alternative to the conventional linear closure.

Citations

Citations to this article as recorded by  
  • Micro-power negative pressure wound technique reduces risk of incision infection following loop ileostomy closure
    Deng-Yong Xu, Bing-Jun Bai, Lina Shan, Hui-Yan Wei, Deng-Feng Lin, Ya Wang, Da Wang
    World Journal of Gastrointestinal Surgery.2024; 16(1): 186.     CrossRef
  • Comparison of purse-string technique vs linear suture for skin closure after ileostomy reversal. A randomized controlled trial
    Filippo Carannante, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Gianluca Masciana, Sara Lauricella, Marco Caricato, Gabriella Teresa Capolupo
    Langenbeck's Archives of Surgery.2024;[Epub]     CrossRef
  • Incisional Negative Pressure Wound Therapy Versus Primary Wound Suturing after Intestinal Ostomy Closure: A Systematic Review and Meta-Analysis
    Michał Kisielewski, Karolina Richter, Magdalena Pisarska-Adamczyk, Michał Wysocki, Nikola Kłos, Tomasz Stefura, Tomasz Wojewoda, Wojciech M. Wysocki
    Advances in Wound Care.2024;[Epub]     CrossRef
  • Comparison of modified gunsight suture technique and traditional interrupted suture in enterostomy closure
    Chang Chen, Xiang Zhang, Zhi-Qiang Cheng, Bin-Bin Zhang, Xin Li, Ke-Xin Wang, Yong Dai, Yan-Lei Wang
    World Journal of Gastroenterology.2023; 29(29): 4571.     CrossRef
  • Wound Infection After Ileostomy Closure: An Interim Analysis of a Prospective Randomized Study Comparing Primary Versus Circumferential Subcuticular Closure Techniques
    Sumesh Kaistha, Rajesh Panwar, Sujoy Pal, Nihar Ranjan Dash, Peush Sahni, Tushar Kanti Chattopadhyay
    Surgical Infections.2023; 24(9): 797.     CrossRef
  • A comparison of surgical site infections in children after stoma reversal between purse-string and linear closure
    Chanathip Sayuen, Ratiyaporn Phannua, Sinobol Chusilp, Patchareeporn Tanming, Suchat Areemit, Katawaetee Decharun, Paisarn Vejchapipat, Kanokrat Thaiwatcharamas
    Pediatric Surgery International.2022; 38(1): 149.     CrossRef
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    Vivek Kumar Roy, Pradeep Jaiswal, Mukesh Kumar, Sukalyan Saha Roy, Saumya Sinha, Anjili Kumari, Krishna Gopal
    Southeast Asian Journal of Case Report and Review.2022; 9(1): 1.     CrossRef
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    Shahnam Askarpour, Mehran Peyvasteh, Farbod Farhadi, Hazhir Javaherizadeh
    ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2022;[Epub]     CrossRef
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    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
    Gastroenterology Report.2021; 9(4): 357.     CrossRef
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    Nilotpal Behuria, Jayant Kumar Banerjee, Sita Ram Ghosh, Shrirang Vasant Kulkarni, Ramanathan Saranga Bharathi
    Medical Journal Armed Forces India.2020; 76(2): 185.     CrossRef
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    M. Gachabayov, H. Lee, A. Chudner, A. Dyatlov, N. Zhang, R. Bergamaschi
    Techniques in Coloproctology.2019; 23(3): 207.     CrossRef
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    Anna Serracant, Xavier Serra‐Aracil, Laura Mora‐López, Anna Pallisera‐Lloveras, Sheila Serra‐Pla, Alba Zárate‐Pinedo, Salvador Navarro‐Soto
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    Surgical Infections.2018; 19(6): 634.     CrossRef
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    International Journal of Colorectal Disease.2018; 33(10): 1319.     CrossRef
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    The Japanese Journal of Gastroenterological Surgery.2017; 50(11): 857.     CrossRef
  • Purse-String Versus Linear Conventional Skin Wound Closure of an Ileostomy: A Randomized Clinical Trial
    Mina Alvandipour, Babak Gharedaghi, Hamed Khodabakhsh, Mohammad Yasin Karami
    Annals of Coloproctology.2016; 32(4): 144.     CrossRef
  • Subcutaneous vacuum drains reduce surgical site infection after primary closure of defunctioning ileostomy
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    International Journal of Colorectal Disease.2015; 30(7): 977.     CrossRef
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    C. D. Mushaya, Raaj Chandra, Wendy Sansom, James Keck
    International Surgery.2015; 100(3): 436.     CrossRef
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    Monica T. Young, Grace S. Hwang, Gopal Menon, Timothy F. Feldmann, Mehraneh D. Jafari, Fariba Jafari, Eden Perez, Alessio Pigazzi
    World Journal of Surgery.2015; 39(11): 2805.     CrossRef
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    Sang Il Yoon, Sun Mi Bae, Hwan Namgung, Dong Guk Park
    Annals of Coloproctology.2015; 31(1): 29.     CrossRef
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    YUMA WADA, NORIKATSU MIYOSHI, MASAYUKI OHUE, SHINGO NOURA, SHIKI FUJINO, KEIJIROU SUGIMURA, HIROFUMI AKITA, MASAAKI MOTOORI, KUNIHITO GOTOH, HIDENORI TAKAHASHI, SHOGO KOBAYASHI, TAKESHI OHMORI, YOSHIYUKI FUJIWARA, MASAHIKO YANO
    Molecular and Clinical Oncology.2015; 3(3): 619.     CrossRef
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    Yong Joon Suh, Ji Won Park, Yong Sok Kim, Sung Chan Park, Jae Hwan Oh
    International Journal of Surgery.2014; 12(6): 615.     CrossRef
  • Abdominal Wall Closure After a Stomal Reversal Procedure
    Manuel López-Cano, José Antonio Pereira, Borja Villanueva, Francesc Vallribera, Eloy Espin, Manuel Armengol Carrasco, María Antonia Arbós Vía, Xavier Feliu, Salvador Morales-Conde
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    Manuel López-Cano, José Antonio Pereira, Borja Villanueva, Francesc Vallribera, Eloy Espin, Manuel Armengol Carrasco, María Antonia Arbós Vía, Xavier Feliu, Salvador Morales-Conde
    Cirugía Española.2014; 92(6): 387.     CrossRef
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    Nils Habbe, Sabine Hannes, Juliane Liese, Guido Woeste, Wolf Otto Bechstein, Christoph Strey
    International Journal of Colorectal Disease.2014; 29(6): 709.     CrossRef
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    Janet T. Lee, Thao T. Marquez, Daniel Clerc, Olivier Gie, Nicolas Demartines, Robert D. Madoff, David A. Rothenberger, Dimitrios Christoforidis
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    Eligijus Poskus, Edvinas Kildusis, Edgaras Smolskas, Marijus Ambrazevicius, Kestutis Strupas
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    C.D. Klink, M. Wünschmann, M. Binnebösel, H.P. Alizai, A. Lambertz, G. Boehm, U.P. Neumann, C.J. Krones
    International Journal of Surgery.2013; 11(10): 1123.     CrossRef
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    D. P. McCartan, J. P. Burke, S. R. Walsh, J. C. Coffey
    Techniques in Coloproctology.2013; 17(4): 345.     CrossRef
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    Mi Kyoung Hong, Min-Su Park, Sun Jin Park, Kil Yeon Lee
    Korean Journal of Clinical Oncology.2013; 9(1): 38.     CrossRef
Transvaginal Endoscopic Appendectomy
Eung Jin Shin, Gui Ae Jeong, Jun Chul Jung, Gyu Seok Cho, Chul Wan Lim, Hyung Chul Kim, Ok Pyung Song
J Korean Soc Coloproctol. 2010;26(6):429-432.   Published online December 31, 2010
DOI: https://doi.org/10.3393/jksc.2010.26.6.429
  • 4,621 View
  • 25 Download
  • 19 Citations
AbstractAbstract PDF

Since Kalloo and colleagues first reported the feasibility and safety of a peroral transgastric approach in the porcine model in 2004, various groups have reported more complex natural orifice transluminal endoscopic surgery (NOTES) procedures, such as the cholecystectomy, splenectomy and liver biopsy, in the porcine model. Natural orifice access to the abdominal cavity, such as transgastric, transvesical, transcolonic, and transvaginal, has been described. Although a novel, minimally invasive approach to the abdominal cavity is a peroral endoscopic transgastric approach, there are still some challenging issues, such as the risk of infection and leakage, and the method of gastric closure. Hybrid-NOTES is an ideal first step in humans. Human hybrid transvaginal access has been used for years by many surgeons for diagnostic and therapeutic purposes. Here, we report a transvaginal flexible endoscopic appendectomy, with a 5-mm umbilical port using ultrasonic scissors in a 74-year-old woman with acute appendicitis.

Citations

Citations to this article as recorded by  
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    Ethan Slouha, Stefan J Biput, Brandon Krumbach, Lucy A Clunes, Theofanis F Kollias
    Cureus.2024;[Epub]     CrossRef
  • Recent Technical Developments in the Field of Laparoscopic Surgery: A Literature Review
    Lama Islem Basunbul, Lenah Sulaiman S Alhazmi, Shahad Amro Almughamisi, Najd Muhammed Aljuaid, Hisham Rizk, Rana Moshref
    Cureus.2022;[Epub]     CrossRef
  • Transvaginal laparoscopic appendectomy using innovative submucosal tunnels: a conducive modification for improving hybrid NOTES access and its critical appraisal
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    International Journal of Colorectal Disease.2015; 30(2): 259.     CrossRef
  • Transvaginal Approach for Nongynecologic Intraperitoneal Procedures
    José F. Noguera, Gonzalo Martín, José M. Muñoz, Antonio Melero, Raúl Sánchez, Javier Valdivia, Marcos Bruna, Antonio Salvador, Cristóbal Zaragoza
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    Minimally Invasive Surgery.2014; 2014: 1.     CrossRef
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    J. E. Sanchez, J. E. Marcet
    Techniques in Coloproctology.2013; 17(S1): 69.     CrossRef
  • Natural orifice translumenal endoscopic surgery (NOTES) second-look peritoneoscopy for staging of limited peritoneal carcinomatosis
    Mircea Beuran, Ionut Negoi, Sorin Paun, Adrian Lobontiu, Florin Filipoiu, Alin Moldoveanu, Ruxandra Negoi, Sorin Hostiuc
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    International Journal of Colorectal Disease.2013; 28(10): 1319.     CrossRef
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    Yun Seok Yang, Myung Haeng Hur, Kwoan Young Oh, Soo Young Kim
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    Jie Chen, Norio Fukami, Zhaoshen Li
    Digestive Endoscopy.2012; 24(5): 299.     CrossRef
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    Ross S Coomber
    World Journal of Gastrointestinal Endoscopy.2012; 4(3): 65.     CrossRef
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    Tae Jun Song, Dong Wan Seo, Su Hui Kim, Do Hyun Park, Sang Soo Lee, Sung Koo Lee, Myung-Hwan Kim
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    Francisco Alba Mesa, Antonio Amaya Cortijo, Jose Manuel Romero Fernandez, Andrzej L. Komorowski, Miguel Angel Sanchez Hurtado, Enrique Fernandez Ortega, Francisco Miguel Sanchez Margallo
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2012; 22(6): 587.     CrossRef
  • Disinfection of the Access Orifice in NOTES: Evaluation of the Evidence Base
    Mikael H. Sodergren, Philip Pucher, James Clark, David R. C. James, Jenny Sockett, Nagy Matar, Julian Teare, Guang-Zhong Yang, Ara Darzi
    Diagnostic and Therapeutic Endoscopy.2011; 2011: 1.     CrossRef

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