Annals of Coloproctology

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Stoma

Comparison of purse-string technique versus linear suture for skin closure after stoma reversal: a meta-analysis of high-quality studies: Filippo Carannante, Guglielmo Niccolò Piozzi, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Vincenzo Schiavone, Jim S. Khan, Marco Caricato, Gabriella Teresa Capolupo; Ann Coloproctol. 2025;41(6):491-500. Published online December 31, 2025; DOI: https://doi.org/10.3393/ac.2025.00801.0114

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Abstract PDF: Purpose
Stoma reversal is associated with notable postoperative morbidity. Several techniques exist for skin closure after stoma reversal, with linear primary closure (LC) and purse-string closure (PS) being the most common. This systematic review and meta-analysis aim to compare LC and PS skin closure after stoma reversal in terms of surgical site infection (SSI) rates, wound healing, and cosmesis.
Methods
In accordance with the PRISMA statement, a systematic review of skin closure after stoma reversal was conducted using MEDLINE (PubMed), Embase, Web of Science, and Scopus.
Results
Eleven studies, enrolling 1,052 patients (PS, n=534; LC, n=518), published between 2006 and 2024, were included. The overall quality of the studies was considered acceptable, with a mean Jadad scale score of 4 (range, 3–5). Patients underwent ileostomy or ileostomy/colostomy in 6 and 5 studies, respectively. No differences were observed between groups in operative time, length of hospital stay, intestinal obstruction, or incisional hernia. However, SSI and overall infection rates were higher in the LC group, with a statistically significant difference for SSI.
Conclusion
Skin closure following stoma reversal using the PS technique may offer advantages over LC. PS is associated with significantly lower SSI rates compared to LC. Although a large randomized controlled trial with long-term follow-up is still required, current findings suggest that PS could be considered the standard of care for wound closure after ileostomy reversal.

Original Articles

Complications

Effect of oral antibiotic bowel preparation versus no preparation on surgical site infections in elective colorectal surgery: a randomized trial: Kavyashree Mallesh, Rajendran Theakarajan, Balasubramanian G, Prashant Penumadu, Raja Kalayarasan, Rajkumar Nagarajan; Ann Coloproctol. 2025;41(5):393-399. Published online October 20, 2025; DOI: https://doi.org/10.3393/ac.2025.00633.0090

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Abstract PDF

Purpose
Surgical site infections (SSIs) represent a significant cause of morbidity following colorectal surgery. While mechanical bowel preparation combined with oral antibiotics is known to reduce SSIs, the independent effect of oral antibiotics alone remains unclear. This study compared the efficacy of oral antibiotic bowel preparation (OABP) versus no bowel preparation (NBP) in reducing SSIs among patients undergoing elective colorectal surgery.
Methods
A prospective, randomized, double-blinded trial was performed at a tertiary care center in India. Eighty-six patients scheduled for elective colorectal surgery were randomized to receive either OABP (oral ciprofloxacin and metronidazole) or placebo, in addition to standard intravenous antibiotics. The primary outcome was the rate of SSIs. Secondary outcomes included anastomotic leak, length of hospital stay, overall morbidity, and readmission rates.
Results
Baseline characteristics were comparable between the groups. The incidence of SSI was significantly lower in the OABP group compared to the NBP group (14.0% vs. 41.9%, P<0.01). The severity of infections and postoperative complications was also reduced in the OABP group (P<0.01). Although rates of anastomotic leak, readmission, and reoperation were higher in the NBP group, these differences were not statistically significant. The mean duration of hospital stay was shorter for patients in the OABP group (8.09 days vs. 11.28 days, P<0.01). No adverse effects related to oral antibiotics were observed.
Conclusion
OABP without mechanical cleansing significantly reduces SSIs, postoperative morbidity, and length of hospital stay in elective colorectal surgery. This approach is safe and effective, offering a strategy to improve surgical outcomes.

Citations

Citations to this article as recorded by

Bowel Preparation for Colorectal Surgery: Evolution, Evidence, and Contemporary Practice
Rajendran Theakarajan, Subramanian Ashuvanth, Govindarajan Rajagopalan
Indian Journal of Colo-Rectal Surgery.2026; 9(1): 7. CrossRef
Oral antibiotics alone for bowel preparation in colorectal surgery: time to rethink tradition?
Soo Young Lee
Annals of Coloproctology.2025; 41(5): 367. CrossRef

Anorectal physiology & pelvic floor disorder

Efficacy and safety of anal encirclement combining the Leeds-Keio artificial ligament with injection sclerotherapy using aluminum potassium sulfate and tannic acid in the management of rectal prolapse: a single-center observational study: Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Kei Ohara, Mitsuhiro Inagaki; Ann Coloproctol. 2023;39(3):210-215. Published online November 12, 2021; DOI: https://doi.org/10.3393/ac.2021.00731.0104

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Abstract PDF

Purpose
Perineal procedures are an important surgical option for frail and high-risk patients with rectal prolapse. This study aimed to evaluate the efficacy and safety of combined therapy using injection sclerotherapy, with aluminum potassium sulfate and tannic acid (ALTA), and the Thiersch procedure, using the Leeds-Keio ligament (ALTA-Thiersch).
Methods
This study included 106 consecutive patients (mean age, 81.2 years) who underwent ALTA-Thiersch for rectal prolapse. The procedure was performed under caudal epidural anesthesia. ALTA was injected into the submucosa from the tip of the prolapsed rectum down to the dentate line, circumferentially, at 20 to 40 locations. The ligament tape was placed outside the external sphincter muscle and at an approximate depth of 2 cm into the middle anal canal.
Results
Of 106 patients, rectal prolapse was cured shortly after surgery in 105 patients. An additional tape was inserted in 1 patient who had persistent prolapse. Postoperative complications were observed in 27 patients (25.5%). Fecal impaction occurred in 12 patients; however, since it was temporary, no tape removal was required. Of the 12 cases in which the tape was infected or exposed, 11 required tape removal. There were 18 cases of recurrence at a mean follow-up of 22.1 months. Cumulative recurrence rates at 3 and 5 years were 21.3% and 38.6%, respectively.
Conclusion
ALTA-Thiersch is a simple and safe procedure for rectal prolapse, having reasonable outcomes. The use of the Leeds-Keio ligament for anal encircling can help compensate for the disadvantages of the Thiersch operation.

Citations

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Outcomes of the Gant-Miwa-Thiersch Procedure Using the Leeds-Keio Mesh for Rectal Prolapse
Naoto Nishigori, Yoshiyuki Sasaki, Shinsaku Obara
Journal of the Anus, Rectum and Colon.2025; 9(2): 252. CrossRef
Gant-Miwa-Thiersch Procedure for Rectal Prolapse - Use of the Leeds-Keio Mesh
Naoto Nishigori, Yoshiyuki Sasaki, Shinsaku Obara
Nihon Daicho Komonbyo Gakkai Zasshi.2025; 78(10): 398. CrossRef
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Bigyan B. Mainali, James J. Yoo, Mitchell R. Ladd
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Efficacy and Safety of a New Technique Combining Injection Sclerotherapy and External Hemorrhoidectomy for Prolapsed Hemorrhoids: A Single-center Observational Study
Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Akane Ito, Kenji Watanabe, Shigenori Ota, Kei Ohara, Mitsuhiro Inagaki, Yusuke Saitoh, Masanori Murakami
Journal of the Anus, Rectum and Colon.2024; 8(4): 331. CrossRef
Simple Anal Reinforcement with Anal Encirclement Using an Artificial Ligament in Patients with fecal Incontinence: A Single-center Observational Study
Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Shigenori Ota, Kei Ohara, Mitsuhiro Inagaki
Journal of the Anus, Rectum and Colon.2022; 6(3): 174. CrossRef

Benign GI diease,Benign diesease & IBD,Complication

High Compliance With Surgical Site Infection (SSI) Prevention Bundle Reduces Incisional SSI After Colorectal Surgery: Varut Lohsiriwat; Ann Coloproctol. 2021;37(3):146-152. Published online May 15, 2020; DOI: https://doi.org/10.3393/ac.2020.04.10.2

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Abstract PDF

Purpose
This study aimed to evaluate association between compliance with surgical site infection (SSI) prevention bundle and the development of superficial or deep incisional SSI following colorectal surgery and to evaluate the impact of incisional SSI on surgical outcomes.
Methods
A prospectively collected database of consecutive patients undergoing elective colectomy and/or proctectomy from 2011 to 2019 in a university hospital was reviewed. The association between compliance with Thailand’s SSI Prevention Bundle (10 level-1A interventions) and the incidence of incisional SSI was determined. Surgical outcomes were compared between those with incisional SSI and those without.
Results
This study included 600 patients with a median age of 64 years (range, 18–102 years). Some 126 patients (21.0%) had stoma formation and 52 (8.7%) underwent laparoscopy. The incidence of incisional SSI was 5.5% (n = 33; 32 superficial incisional SSI and 1 deep incisional SSI). Higher compliance with care bundle tended to decrease incisional SSI (P = 0.20). In multivariate analysis, compliance of 70% or more was the only dependent factor for reducing incisional SSI (odds ratio, 0.39; 95% confidence interval, 0.15 to 0.99; P = 0.047). None of individual interventions were significantly associated with a lower probability of incisional SSI. Compared with counterparts, patients with incisional SSI had a 2-day longer length of postoperative stay (6 day vs. 4 day, P < 0.001) but comparable time for gastrointestinal recovery and similar rate of 30-day mortality or readmission.
Conclusion
High compliance with SSI prevention bundle (especially ≥ 70%) reduced incisional SSI after colorectal surgery.

Citations

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PREVENTION OF SURGICAL SITE INFECTIONS: A COMPREHENSIVE REVIEW OF GUIDELINES AND SCIENTIFIC EVIDENCE (2017–2025)
Jakub Tomasz Latos, Katarzyna Anna Kowalska, Franciszek Szweda, Tomasz Poczwardowski, Adrianna Kaczmarek, Marcin Chwalczuk, Olivia Grygorcewicz, Marta Koneczna, Karolina Alicja Krystyniak, Kinga Augustyniak, Klaudia Leszto, Natalia Smuniewska
International Journal of Innovative Technologies in Social Science.2026;[Epub] CrossRef
Colorectal Cancer in China, 1990 to 2023: Trends, Modifiable Risks, and Prevention Priorities Based on Global Burden of Disease 2023 Estimates
Shuai Wang, Jingbo Lv, Li Wang, Hao Wu, Xueyuan Cao
Journal of Gastrointestinal Cancer.2026;[Epub] CrossRef
Surgical site infection prevention care bundles in colorectal surgery: a scoping review
T. Cunha, S. Miguel, J. Maciel, C. Zagalo, P. Alves
Journal of Hospital Infection.2025; 155: 221. CrossRef
Empowering patients through a perioperative prevention bundle to reduce surgical site infections in colorectal surgery
Vladimir Nikolic, Ljiljana Markovic-Denic, Stefan Kmezic, Aleksandar Radovanovic, Djordje Nektarijevic, Jelena Djokic-Kovac, Djordje Knezevic, Andrija Antic
American Journal of Infection Control.2025; 53(7): 753. CrossRef
The Impact of Patients’ Engagement in the Prevention of Surgical Site Infections: A Systematic Review
Ashraf A'aqoulah, Munirah Alomran, Nuha Alhumaid, Ashraf El-Metwally, Farah Kalmey
Infection and Drug Resistance.2025; Volume 18: 5761. CrossRef
Systematic review and meta-analysis of outcomes associated with incisional and organ/space surgical site infections in abdominal surgery patients
Shalini Elangovan, Shravya Murali, Amudha Aravindhan, Choon Sheong Seow, Nicholas Graves
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Buddhi Hatharaliyadda, Michelle Schmitz, Anne Mork, Fauzia Osman, Charles Heise, Nasia Safdar, Aurora Pop-Vicas
Journal for Healthcare Quality.2024; 46(1): 22. CrossRef
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International Journal of Surgery.2024; 110(12): 7763. CrossRef
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Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons
Jennifer L. Irani, Traci L. Hedrick, Timothy E. Miller, Lawrence Lee, Emily Steinhagen, Benjamin D. Shogan, Joel E. Goldberg, Daniel L. Feingold, Amy L. Lightner, Ian M. Paquette
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The Latest Results and Future Directions of Research for Enhanced Recovery after Surgery in the Field of Colorectal Surgery
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The Ewha Medical Journal.2023;[Epub] CrossRef
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Varut Lohsiriwat, Romyen Jitmungngan
Medicina.2022; 58(3): 418. CrossRef
Robot-Assisted Colorectal Surgery
Young Il Kim
The Ewha Medical Journal.2022;[Epub] CrossRef

Effect of Hyperoxygenation During Surgery on Surgical Site Infection in Colorectal Surgery: Mina Alvandipour, Farzad Mokhtari-Esbuie, Afshin Gholipour Baradari, Abolfazl Firouzian, Mehdi Rezaie; Ann Coloproctol. 2019;35(1):9-14. Published online February 28, 2019; DOI: https://doi.org/10.3393/ac.2018.01.16

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Abstract PDF

Purpose
Despite the use of different surgical methods, surgical site infection is still an important cause of mortality and morbidity in patients and imposes a considerable cost on the healthcare system. Administration of supplemental oxygen during surgery has been reported to reduce surgical site infection (SSI); however, that result is still controversial. This study was performed to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of wound infection.
Methods
This study was a prospective double-blind case-control study. The main aim of the study was to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of SSI. Also, secondary outcomes, such as atelectasis, pneumonia, respiratory failure, length of hospital stay, and required hospitalization in the intensive care unit were evaluated.
Results
SSI was recorded in 2 patients (2 of 40, 5%) in the hyperoxygenation group (FiO2 80%) and 6 patients (6 of 40, 15%) in the control group (FiO2 30%) (P < 0.05). Time of hospitalization was 6 ± 6.4 days in the hyperoxygenation group and 9.2 ± 2.4 days in the control group (P < 0.05).
Conclusion
This study showed a positive effect of hyperoxygenation in reducing SSI in colorectal surgery, especially surgery in an emergency setting. When the low risk, low cost, and effectiveness of this method in patients undergoing a laparotomy are considered, it is recommended for all patients undergoing colorectal surgery.

Citations

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Effects of high vs. low perioperative inspired oxygen fraction on length of hospital stay and postoperative complications: a systematic review, meta-analysis, and trial sequential analysis
Mimi WU, Lanlan CHANG, Leying SUN, Zhao DAI, Jinhua BO, Xin XU
Minerva Anestesiologica.2025;[Epub] CrossRef
Perioperative oxygen therapy: an overview of systematic reviews and meta-analyses
Adel Elfeky, Yen-Fu Chen, Amy Grove, Keith Couper, Rachel Court, Sara Tomassini, Anna Wilson, Amy Hooper, Alexandra Buckle, Sharvari Vadeyar, Marion Thompson, Olalekan Uthman, Joyce Yeung
British Journal of Anaesthesia.2025; 135(5): 1456. CrossRef
Perioperative Low Fraction of Inspired Oxygen Reduces Postoperative Atelectasis in Abdominal Surgery Patients: A Systematic Review and Meta-Analysis
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Advances in Clinical Medicine.2025; 15(08): 1883. CrossRef
Perioperative oxygen therapy in patients undergoing surgical procedures: an overview of systematic reviews and meta-analyses
Adel Elfeky, Yen-Fu Chen, Amy Grove, Keith Couper, Rachel Court, Sara Tomassini, Anna Wilson, Amy Hooper, Alexandra Buckle, Sharvari Vadeyar, Marion Thompson, Olalekan Uthman, Joyce Yeung
Health Technology Assessment.2025; : 1. CrossRef
A low perioperative fraction of inspired oxygen reduces the incidence of postoperative atelectasis in patients undergoing abdominal surgery under general anesthesia: A systematic review and meta-analysis
Zuofeng Wang, Min Jiang, Cuiyuan Huang, Hengjing Zou, Yu Wen, Shan Ou
Journal of International Medical Research.2025;[Epub] CrossRef
Risk Factors for Postoperative Infections Following Appendectomy of Complicated Appendicitis: A Meta-analysis and Retrospective Single-institutional Study
Katherine Cironi, Aaron L. Albuck, Bryant McLafferty, Alison K. Mortemore, Christina McCarthy, Mohammad Hussein, Peter P. Issa, Tyler Metz, Marcela Herrera, Eman Toraih, Sharven Taghavi, Emad Kandil, Jacquelyn Turner
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2024; 34(1): 20. CrossRef
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Pernilla V. Conrad, Thomas Becker, Julius Pochhammer, Axel Kramer
Im OP.2024; 14(05): 236. CrossRef
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for Preventing Surgical Site Infection
Benjamin D. Shogan, Jon D. Vogel, Bradley R. Davis, Deborah S. Keller, Jennifer M. Ayscue, Lindsey E. Goldstein, Daniel L. Feingold, Amy L. Lightner, Ian M. Paquette
Diseases of the Colon & Rectum.2024; 67(11): 1368. CrossRef
Updated meta-analysis on intraoperative inspired fraction of oxygen and the risk of surgical site infection in adults undergoing general and regional anesthesia
Yoann El Maleh, Charlotte Fasquel, Christophe Quesnel, Marc Garnier
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Postoperative Outcomes of Stoma Takedown: Results of Long-term Follow-up: Bomina Paik, Chang Woo Kim, Sun Jin Park, Kil Yeon Lee, Suk-Hwan Lee; Ann Coloproctol. 2018;34(5):266-270. Published online October 10, 2018; DOI: https://doi.org/10.3393/ac.2017.12.13

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Abstract PDF

Purpose
Stoma takedown is a frequently performed procedure with considerable postoperative morbidities. Various skin closure techniques have been introduced to reduce surgical site infections. The aim of this study was to assess postoperative outcomes after stoma takedown during a long-term follow-up period.
Methods
Between October 2006 and December 2015, 84 consecutive patients underwent a colostomy or ileostomy takedown at our institution. Baseline characteristics and perioperative outcomes were analyzed through retrospective reviews of medical records.
Results
The proportion of male patients was 60.7%, and the mean age of the patients was 59.0 years. The overall complication rate was 28.6%, with the most common complication being prolonged ileus, followed by incisional hernia, anastomotic leakage, surgical site infection, anastomotic stenosis, and entero-cutaneous fistula. The mean follow-up period was 64.3 months. The univariate analysis revealed no risk factors related to overall complications or prolonged ileus.
Conclusion
The postoperative clinical course and long-term outcomes following stoma takedown were acceptable. Stoma takedown is a procedure that can be performed safely.

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Multidisciplinary management of a patient with vesicosigmoid fistula and multisystem diseases undergoing stoma reversal: a case report
Jian Yang, Li Zhang, Ke Zeng
BMC Surgery.2026;[Epub] CrossRef
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Sharon L. Hsieh, Nathaniel Grabill, Mena Louis, Bradley Kuhn
Radiology Case Reports.2025; 20(1): 346. CrossRef
Comparing Surgical Site Infection Rate Between Primary Closure and Rhomboid Flap After Stoma Reversal
Che-Ming Chu, Chih-Cheng Chen, Yu-Yao Chang, Kai-Jyun Syu, Shih-Lung Lin
Annals of Plastic Surgery.2024; 92(1S): S33. CrossRef
TIMING OF THE STOMA REVERSAL, WHAT IS THE SAFE PERIOD?: A RETROSPECTIVE OBSERVATIONAL STUDY
GIRIDHAR ASHWATH, ESHWAR KATHIRESAN MANASIJAN, ANTHONY P ROZARIO
Asian Journal of Pharmaceutical and Clinical Research.2024; : 181. CrossRef
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F. Ascari, G. Barugola, G. Ruffo
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Laparoscopic versus open Hartmann reversal: a propensity score matching analysis
Li Tan, Xiao-Yu Liu, Bin Zhang, Lian-Lian Wang, Zheng-Qiang Wei, Dong Peng
International Journal of Colorectal Disease.2023;[Epub] CrossRef
Defunctioning stoma in anterior resection for rectal cancer does not impact anastomotic leakage: a national population-based cohort study
Eihab Munshi, Marie-Louise Lydrup, Pamela Buchwald
BMC Surgery.2023;[Epub] CrossRef
Surgical Site Infection After Stoma Reversal: A Comparison Between Linear and Purse-String Closure
Muhammad Awais Khan, Khurram Niaz, Shahzeb Asghar, Maaz A Yusufi, Mohtamam Nazir, Syed Muhammad Ali, Aryan Ahmed, Akeel Ahamed Salahudeen, Talha Kareem
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Ömer Yalkın, Fatih Altıntoprak, Mustafa Yener Uzunoğlu, Yasin Alper Yıldız, Muhammet Burak Kamburoğlu, Necattin Fırat, Fehmi Çelebi, Mihajlo Jakovljevic
BioMed Research International.2022;[Epub] CrossRef

Influence of Shorter Duration of Prophylactic Antibiotic Use on the Incidence of Surgical Site Infection Following Colorectal Cancer Surgery: Youn Young Park, Chang Woo Kim, Sun Jin Park, Kil Yeon Lee, Jung Joo Lee, Hye Ok Lee, Suk-Hwan Lee; Ann Coloproctol. 2015;31(6):235-242. Published online December 31, 2015; DOI: https://doi.org/10.3393/ac.2015.31.6.235

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Abstract PDF

Purpose

This study aimed to identify the risk factors for surgical site infections (SSIs) in patients undergoing colorectal cancer surgery and to determine whether significantly different SSI rates existed between the short prophylactic antibiotic use group (within 24 hours) and the long prophylactic antibiotic use group (beyond 24 hours).

Methods

The medical records of 327 patients who underwent colorectal resection due to colorectal cancer from January 2010 to May 2014 at a single center were retrospectively reviewed, and their characteristics as well as the surgical factors known to be risk factors for SSIs, were identified.

Results

Among the 327 patients, 45 patients (13.8%) developed SSIs. The patients were divided into two groups according to the duration of antibiotic use: group S (within 24 hours) and group L (beyond 24 hours). Of the 327 patients, 114 (34.9%) were in group S, and 213 (65.1%) were in group L. Twelve patients (10.5%) in group S developed SSIs while 33 patients (15.5%) in group L developed SSIs (P = 0.242). History of diabetes mellitus and lung disease, long operation time, and perioperative transfusion were independent risk factors for SSIs.

Conclusion

This study shows that discontinuation of prophylactic antibiotics within 24 hours after colorectal surgery has no significant influence on the incidence of SSIs. This study also showed that history of diabetes mellitus and lung disease, long operation time, and perioperative transfusion were associated with increased SSI rates.

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Yani Chen, Hua Guo, Tian Gao, Jiale Yu, Yujia Wang, Haiquan Yu
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Yasuhiro Sasaki, Akira Kurishima, Chieko Miyamoto, Kenichiro Hataji, Toru Tezuka, Hideo Katsuragawa
Journal of Pharmaceutical Health Care and Sciences.2024;[Epub] CrossRef
Antibiotic use during radical surgery in stage I-III colorectal cancer: correlation with outcomes?
Mingyue Xu, Yuanyuan Chen, Panhua Li, Qianwen Ye, Shouhan Feng, Bing Yan
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Life.2024; 14(7): 850. CrossRef
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Noam Emanuel, Goldi A. Kozloski, Shlomo Nedvetzki, Sefi Rosenfeld
European Journal of Pharmaceutical Sciences.2023; 188: 106504. CrossRef
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Brigid M. Gillespie, Emma Harbeck, Megan Rattray, Rhea Liang, Rachel Walker, Sharon Latimer, Lukman Thalib, Annette Erichsen Andersson, Bronwyn Griffin, Robert Ware, Wendy Chaboyer
International Journal of Surgery.2021; 95: 106136. CrossRef
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PLOS ONE.2021; 16(10): e0259107. CrossRef
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Appropriate Prophylactic Antibiotic Use in Clean Wound Surgery Under Local Anesthesia
Han Gyu Cha, Jin Geun Kwon, Hyun Ho Han, Jin Sup Eom, Eun Key Kim
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Clinical Trial on the Incidence of Wound Infection and Patient Satisfaction After Stoma Closure: Comparison of Two Skin Closure Techniques: Sang Il Yoon, Sun Mi Bae, Hwan Namgung, Dong Guk Park; Ann Coloproctol. 2015;31(1):29-33. Published online February 28, 2015; DOI: https://doi.org/10.3393/ac.2015.31.1.29

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Abstract PDF

Purpose

Surgical site infection (SSI) is one of the most common complications that can occur after stoma closure. Reports have described differences in the incidence of wound infection depending on the skin closure technique, but there is no consensus on the ideal closure technique for a stoma wound. The aim of this study was to compare the incidence of SSI and the patient satisfaction between a circumferential purse-string approximation (CPA) and a primary linear closure (PC) of a stoma wound.

Methods

This prospective nonrandomized trial enrolled 48 patients who underwent a stoma closure from February 2010 to October 2013. Patients were divided into two groups according to the stoma closing technique: the CPA group (n = 34) and the PC group (n = 14). The incidences of SSI for the two groups were compared, and the patients' satisfaction with the stoma closure was determined by using a questionnaire.

Results

SSI occurred in 3 of 48 patients (6.3%) and was more frequent in the PC group than in the CPA group (3/14 [21.4%] vs. 0/34 [0%], P = 0.021). Time to complete healing after stoma closure in the CPA group was 32 days (range, 14-61 days). Patients in the CPA group were more satisfied with the resulting wound scar (P = 0.043).

Conclusion

After stoma closure, CPA was associated with a significantly lower incidence of wound infection and greater patient satisfaction compared to PC. However, with the CPA technique, the time to heal is longer than it is with PC.

Citations

Citations to this article as recorded by

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Brian Williams, Aubrey Swinford, Jordan Martucci, Johnny Wang, Jordan R. Wlodarczyk, Abhinav Gupta, Kyle G. Cologne, Sarah E. Koller, Christine Hsieh, Marjun P. Duldulao, Joongho Shin
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Comparison of purse-string technique versus linear suture for skin closure after stoma reversal: a meta-analysis of high-quality studies
Filippo Carannante, Guglielmo Niccolò Piozzi, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Vincenzo Schiavone, Jim S. Khan, Marco Caricato, Gabriella Teresa Capolupo
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Clinical Benefits of Reducing Dead Space Using a Closed Suction Drain and Subcutaneous Large-bite Buried Suture Technique to Prevent Superficial Surgical-site Infections Following Primary Closure of a Diverting Stoma
Yusuke Ohara, Yohei Owada, Jaejeong Kim, Shoko Moue, Yoshimasa Akashi, Koichi Ogawa, Kazuhiro Takahashi, Osamu Shimomura, Kinji Furuya, Shinji Hashimoto, Tsuyoshi Enomoto, Tatsuya Oda
Journal of the Anus, Rectum and Colon.2024; 8(2): 70. 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
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Jinlong Luo, Dan Liu, Junmei Wu, Huaiwu Jiang, Jin Chen, Hua Yang, Lie Yang
Medicine.2024; 103(35): e39477. CrossRef
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Jia Gang Han, Hong Wei Yao, Jian Ping Zhou, Hong Zhang, Gui Ying Wang, Zhan Long Shen, Jian Feng Gong, Zhen Jun Wang
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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

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34 Citations

Abstract 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

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Anna Serracant, Xavier Serra‐Aracil, Laura Mora‐López, Anna Pallisera‐Lloveras, Sheila Serra‐Pla, Alba Zárate‐Pinedo, Salvador Navarro‐Soto
World Journal of Surgery.2019; 43(7): 1692. CrossRef
Does Wound Irrigation with Clorhexidine Gluconate Reduce the Surgical Site Infection Rate in Closure of Temporary Loop Ileostomy? A Prospective Clinical Study
Mustafa Goztok, Mustafa Cem Terzi, Tufan Egeli, Naciye Cigdem Arslan, Aras Emre Canda
Surgical Infections.2018; 19(6): 634. CrossRef
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Shahab Hajibandeh, Shahin Hajibandeh, Andrew Kennedy-Dalby, Sheik Rehman, Reza Arsalani Zadeh
International Journal of Colorectal Disease.2018; 33(10): 1319. CrossRef
Construction and Closure of Umbilical Ileostomy in Laparoscopic Rectal Surgery
Masahiro Hada, Masanori Kotake, Daiki Kakiuchi, Kengo Hayashi, Sho Yamada, Koichiro Sawada, Masahiro Oshima, Yosuke Kato, Chikashi Hiranuma, Yuko Yamada, Chiharu Hiraki, Takuo Hara
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
Hong-Da Pan, Lin Wang, Yi-Fan Peng, Ming Li, Yun-Feng Yao, Jun Zhao, Tian-Cheng Zhan, Chang-Zheng Du, Jin Gu
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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Molecular and Clinical Oncology.2015; 3(3): 619. CrossRef
A beneficial effect of purse-string skin closure after ileostomy takedown: A retrospective cohort study
Yong Joon Suh, Ji Won Park, Yong Sok Kim, Sung Chan Park, Jae Hwan Oh
International Journal of Surgery.2014; 12(6): 615. CrossRef
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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 (English Edition).2014; 92(6): 387. CrossRef
Cierre de la pared abdominal después del cierre de un estoma temporal
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
The use of purse-string skin closure in loop ileostomy reversals leads to lower wound infection rates—a single high-volume centre experience
Nils Habbe, Sabine Hannes, Juliane Liese, Guido Woeste, Wolf Otto Bechstein, Christoph Strey
International Journal of Colorectal Disease.2014; 29(6): 709. CrossRef
Pursestring Closure of the Stoma Site Leads to Fewer Wound Infections
Janet T. Lee, Thao T. Marquez, Daniel Clerc, Olivier Gie, Nicolas Demartines, Robert D. Madoff, David A. Rothenberger, Dimitrios Christoforidis
Diseases of the Colon & Rectum.2014; 57(11): 1282. CrossRef
Complications after Loop Ileostomy Closure: A Retrospective Analysis of 132 Patients
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Visceral Medicine.2014; 30(4): 276. CrossRef
Randomized controlled trial: comparison of two surgical techniques for closing the wound following ileostomy closure: purse string vs direct suture
N. Dusch, D. Goranova, F. Herrle, M. Niedergethmann, P. Kienle
Colorectal Disease.2013; 15(8): 1033. CrossRef
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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
Purse-string approximation is superior to primary skin closure following stoma reversal: a systematic review and meta-analysis
D. P. McCartan, J. P. Burke, S. R. Walsh, J. C. Coffey
Techniques in Coloproctology.2013; 17(4): 345. CrossRef
Primary linear closure with closed suction wound drain after ileostomy takedown
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Korean Journal of Clinical Oncology.2013; 9(1): 38. CrossRef

Randomized Controlled Trial

Preventive Effects for Wound Infection of Intra-incisional Metronidazole Infiltration Preoperatively in Appendectomy.: Park, Bu Il , Kim, Byung Seok , Moon, Duk Jin , Park, Ju Sub; J Korean Soc Coloproctol. 2000;16(6):356-359.

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Abstract PDF: PURPOSE
The aim of this prospective study was to evaluate the effect of metronidazole for wound infection by using intra-incisional infiltration before appendectomy.
METHODS
From January to May 2000, 176 patients with acute appendicitis received appendectomy. All patients were randomly divided into two groups. Group I (n=50) was the treatment group and group II (n=126) was the control group. After anesthesizing the patients of group I, 7.5 mg/kg of metronidazole was injected into subcutaneous tissue and muscle. All patients of group I and II were given intravenous injection of cephalosporin and intravenous or intramuscular injection of aminoglycoside.
RESULTS
In the 50 cases of group I, the rate of wound infection was 2% and the rate of wound infection in the 126 cases of group II was 4.8%. The rate of anaerobic bacteria of organisms cultured from wound of patients with infection was 0% in group I and 33% in group II. The statistical analysis using chi-square test was not significant (p=0.676) but the rate of wound infection was reduced, especially in infection caused by anaerobic bacteria.
CONCLUSIONS
The rate of wound infection was not significant statistically but it was reduced after intra-incisional infiltration of metronidazole. Therefore we suggest that this method can be one of methods that reduce the rate of wound infection after appendectomy.

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