J.Jpn. Surg. Soc.. 120(1): 51-54, 2019

---

Feature topic

TECHNIQUES FOR WOUND CLOSURE AND WOUND MANAGEMENT TO PREVENT SURGICAL SITE INFECTION FOLLOWING STOMA REVERSAL

Recently, the number of cases of diverting stoma has increased due to an increase in the number of cases of inflammatory bowel disease, anal-preserving surgeries for low rectal cancer, and high-risk patients including the elderly. The most frequent complications associated with diverting-stoma reversal include surgical site infection (SSI) and small bowel obstruction. Severe SSIs following diverting-stoma reversal increase the risk of wound dehiscence, stoma-site incisional hernias, hospital expense, length of hospital stay, and associated healthcare costs. To prevent SSIs following diverting-stoma reversal, a number of alternative surgical techniques have been developed, and the results have been reported. Meta-analysis of randomized controlled trials shows that a purse-string skin closure technique after diverting-stoma reversal is recommended to prevent SSIs because of the small opening for the drainage of wound discharge and accelerated wound healing. More recently, negative-pressure wound therapy has received widespread attention as a new type of wound management to prevent SSIs, but further clinical trials are required to evaluate the significance of negative-pressure wound therapy in diverting-stoma reversal.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.