Effects of different abdominal wall sutures on incision healing of loop ileostomy closure

Abstract

Objective To compare the effects of different abdominal wounds closure on the incision healing of loop ileostomy closure. Methods In this retrospective study, 84 patients who underwent loop ileostomy closure operation were admitted, and were randomly divided into experiment group (42 cases) and control group (42 cases). The patients in the control group underwent layer interrupted suture without subcutaneous drainage tube, while those of experiment group underwent full-thickness continuous suture combined with subcutaneous negative pressure drainage. The wound healing and complications incidence in perioperative period were compared between the two groups. Results There was no significant difference of dehiscence of wound, incision hernia or incision fistula between the two groups(P>0.05). However, the duration of abdominal closure, incidence of abdominal incision infection, fat liquefaction and postoperative hospital stay were significant shorter or lower in experiment group than those in control group(P<0.05). Conclusions The application of full-thickness continuous suture combined with subcutaneous negative pressure drainage for abdominal closing can promote wound healing of the loop ileostomy closure. However, further studies will be needed to identify the long-term effect. Key words: Loop ileostomy closure; Incision suture; Incision healing