Özet:

Aim: Currently, conventional linear sutured closure of the skin following loop ileostomy reversal is widely used. The purse-string closure technique has recently been described as an approach associated with less wound infection and scar formation. The primary aim of this study was to compare the cosmetic results of purse-string closure vs conventional linear sutured closure of the stoma wound following loop ileostomy reversal. Method: The medical records of patients who underwent loop ileostomy closure at a single center were reviewed retrospectively. The appearance of dog-ear deformity (redundant skin) in the stoma site skin was the primary outcome used to evaluate cosmetic results. Results: Twenty-five patients were included in this study. Purse-string technique was used in 10 patients and linear closure technique was performed in 15 patients. After a median follow up of 34 (12-64) months the dog-ear deformity was seen in 13 (87%) patients who underwent linear closure technique, whereas none was seen in patients who underwent purse-string closure (p<0.0001). Conclusion: Purse-string closure of the stoma wound was associated with significantly better cosmetic results compared to conventional linear sutured closure following loop ileostomy reversal.

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