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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 29 - 33 (5page)
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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.
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참고문헌 (17)
참고문헌 신청
Wong KS / 2005 / Loop ileostomy closure after restorative proctocolectomy: outcome in 1,504 patients / Dis Colon Rectum 48:243~250
Hackam DJ / 1995 / Stoma closure and wound infection : an evaluation of risk factors / Can J Surg 38:144~148
Banerjee A / 1997 / Pursestring skin closure after stoma reversal / Dis Colon Rectum 40:993~994
Sutton CD / 2002 / A technique for wound closure that minimizes sepsis after stoma closure / ANZ J Surg 72:766~767
McCartan DP / 2013 / Purse-string approximation is superior to primary skin closure following stoma reversal : a systematic review and meta-analysis / Tech Coloproctol 17:345~351
Hackam DJ / 1995 / Stoma closure and wound infection : an evaluation of risk factors / Can J Surg 38:144~148
Banerjee A / 1997 / Pursestring skin closure after stoma reversal / Dis Colon Rectum 40:993~994
Sutton CD / 2002 / A technique for wound closure that minimizes sepsis after stoma closure / ANZ J Surg 72:766~767
McCartan DP / 2013 / Purse-string approximation is superior to primary skin closure following stoma reversal : a systematic review and meta-analysis / Tech Coloproctol 17:345~351
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