PMID- 24776653
OWN - NLM
STAT- MEDLINE
DCOM- 20150330
LR  - 20140711
IS  - 1421-9883 (Electronic)
IS  - 0253-4886 (Linking)
VI  - 31
IP  - 2
DP  - 2014
TI  - Prevalence of surgical site infection at the stoma site following four skin 
      closure techniques: a retrospective cohort study.
PG  - 73-8
LID - 10.1159/000354426 [doi]
AB  - BACKGROUND/AIMS: Surgical site infection (SSI) is a common complication of stoma 
      reversal. Studies have suggested that different skin closures affect SSI rates. 
      Our aim was to determine which skin closure technique following stoma reversal 
      leads to the lowest rate of SSI. METHODS: We conducted a retrospective review of 
      all adult patients undergoing stoma reversal at a single institution (2005-2011) 
      and compared the rate of SSI following four skin closure techniques: primary 
      closure (PC), secondary closure (SC), loose PC (LPC), and circular closure (CC). 
      Univariate analysis included chi(2) or Fisher's exact test and ANOVA or 
      Kruskal-Wallis H test for categorical and continuous data, respectively. A 
      multivariate logistic regression model was created to identify predictors of SSI. 
      RESULTS: One hundred and forty-six patients were identified: 40 (27%) PC, 68 
      (47%) SC, 20 (14%) LPC, and 18 (12%) CC. CC was less likely to have SSI (6%) 
      compared to PC (43%), SC (16%), and LPC (15%; p < 0.01). Increasing body mass 
      index was a predictor of SSI (odds ratio 1.11, 95% confidence interval 1.04-1.12, 
      p < 0.01). CC was associated with the lowest odds of developing SSI [0.07 
      (0.01-0.63), p = 0.02]. CONCLUSIONS: SSI rate was the lowest for stomas that were 
      closed with CC.
CI  - (c) 2014 S. Karger AG, Basel.
FAU - Li, Linda T
AU  - Li LT
AD  - Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, 
      Tex., USA.
FAU - Brahmbhatt, Reshma
AU  - Brahmbhatt R
FAU - Hicks, Stephanie C
AU  - Hicks SC
FAU - Davila, Jessica A
AU  - Davila JA
FAU - Berger, David H
AU  - Berger DH
FAU - Liang, Mike K
AU  - Liang MK
LA  - eng
PT  - Journal Article
DEP - 20140423
PL  - Switzerland
TA  - Dig Surg
JT  - Digestive surgery
JID - 8501808
SB  - IM
MH  - Aged
MH  - *Body Mass Index
MH  - Colostomy
MH  - Female
MH  - Hernia, Abdominal/epidemiology/etiology
MH  - Humans
MH  - Ileostomy
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Retrospective Studies
MH  - *Surgical Stomas
MH  - Surgical Wound Infection/*epidemiology/etiology
MH  - Wound Closure Techniques/*adverse effects
EDAT- 2014/04/30 06:00
MHDA- 2015/03/31 06:00
CRDT- 2014/04/30 06:00
PHST- 2013/02/11 00:00 [received]
PHST- 2013/07/14 00:00 [accepted]
PHST- 2014/04/30 06:00 [entrez]
PHST- 2014/04/30 06:00 [pubmed]
PHST- 2015/03/31 06:00 [medline]
AID - 000354426 [pii]
AID - 10.1159/000354426 [doi]
PST - ppublish
SO  - Dig Surg. 2014;31(2):73-8. doi: 10.1159/000354426. Epub 2014 Apr 23.