Colostomy Closure Research Articles

Forceful Insertion of Hair Clutcher Leading to Rectovaginal Fistula: An Inhuman Act

ABSTRACT Prolonged foreign body impaction resulting in a rectovaginal fistula is one of the rare case scenarios presenting nowadays due to increased awareness and widespread availability of health care centers. Also, the taboo of reporting to healthcare personnel for rare gynecological problems is also decreasing. This patient reported with a foreign body in the form of a hair clutcher inserted in her vagina 3 years back by her boyfriend. She presented with complaints of itching, foreign body sensation in the vagina, and pain abdomen in the supra pubic area for 3 months after she got married. The diagnosis was confirmed on per rectal and per vaginal examination followed by contrast-enhanced computed tomography pelvis. Intraoperatively, the foreign body was found to be impacted in both rectum and vagina, resulting in a rectovaginal fistula. The fistula was repaired and a diversion colostomy was done. After 12 weeks, colostomy closure was done, and the patient was discharged with no postoperative complications.

How Closure of Transverse Loop Colostomy is Performed in Russia.

Balaban, Vladimir M.D., Ph.D.1; Mutyk, Mikhail M.D.2; Tsarkov, Petr M.D., Ph.D.1 Author Information

Successful omental flap coverage repair of a rectovaginal fistula after low anterior resection: a case report

BackgroundRectovaginal fistula (RVF) is a troublesome and refractory complication after low anterior resection (LAR) for rectal cancer. An omental flap repair was performed for the RVF caused due to Crohn’s disease and childbirth trauma. However, there are few cases of an omental flap repair for RVF after LAR. Herein, we present a successfully repaired case of RVF by omental flap coverage after LAR for rectal cancer.Case presentationA 50-year-old female patient with advanced rectal cancer underwent laparoscopic LAR with double-stapling technique anastomosis and achieved curative resection. She complained of a stool from the vagina and was diagnosed with RVF on the postoperative day (POD) 18. Conservative therapy was ineffective. We performed laparoscopic fistula resection and direct closure of the vagina and rectum, designed the omentum that could reach the pelvis, repaired RVF by omental flap coverage, and performed transverse colostomy on POD 25. She was discharged on initial POD 48. Seven months after the initial operation, colostomy closure was administered. There was no recurrence of RVF found 1 year after the initial operation.ConclusionsThe patient achieved an omental flap coverage for RVF. We successfully performed the omental flap coverage repair in patients with RVF after the leakage of LAR. An omental flap may become an alternative treatment for muscle flap or an effective treatment for RVF.

Adjusted enhanced recovery after surgery (ERAS) protocol in colorectal surgery at dr. Cipto Mangunkusumo General Hospital, Jakarta

Background: The Enhanced Recovery After Surgery (ERAS) strategy has been proven to be successful in lowering hospital perioperative problem rates and postoperative length of stay (LOS) in colorectal surgery. The inability of dr. Cipto Mangunkusumo General Hospital's to implement all of the components of the ERAS protocol was attributed to three major factors: patient-related (compliance), physician-related (silo mentality), and hospital-related (long waiting lists and inability to provide required facilities). This study aims to determine how well the ERAS procedure can be partially implemented to achieve the ERAS objective. Methods: This study is a cross-sectional study involving sixty-three colorectal patients who underwent surgical procedures between 2015 and 2017 were evaluated retrospectively for complete ERAS protocol implementation. The complete implementation is the ability to accomplish all 15 ERAS components. Demographic, clinical, and total LOS data were also collected from medical records. These samples were analyzed using univariate analysis and Pearson correlation tests to determine the relationship between the number of ERAS components that accomplish per subject and the LOS of the patient. Results: Eleven out of 15 ERAS components were implemented on 63 patients. The majority of the cohort were female (male-to-female ratio of 1:1.2) with an average age of 53 years, 0% mortality, 7.9% morbidity (1.6%, 1.6%, and 4.8% due to surgical site infection, pneumonia, and urinary retention, respectively), and underwent conventional rather than laparoscopic surgery (84.1% vs. 15.9%). The most common location of tumors and procedures were sigmoid (47.6%) and colostomy closure (25.4%). None of the patients was able to comply with all components of the ERAS protocol; however, the results from 6 patients who implemented ten or more components of the ERAS protocol showed a higher reduction rate of the total LOS from 8−12 days to only five days (a reduction rate of 62.5%) compared to patients who completed less than 10 components (p<0.01, r=−0.568). Conclusion: Implementing at least 10 ERAS components may have a similar impact to fully implementing the ERAS protocol regarding how patients who have colorectal surgery are managed. These ten components are subsequently called the adjusted ERAS protocol for colorectal surgery.

Long term outcome of multidisciplinary management of urethro-rectal fistula after urologic surgery

We retrospectively collected the records of patients with URF operated on at the University Hospital of Tours between January 1, 2000 and January 1, 2020. Short-term and long-term results according to management are reported. The study included 20 patients. As an initial gesture, 11 patients underwent bladder catheterization and colostomy, seven underwent bladder catheterization alone, one underwent graciloplasty, and one, a York Mason procedure. The success rate of initial conservative management was only 5% (1/20). As a secondary or tertiary intervention, ten patients underwent a York Mason procedure and nine underwent graciloplasty. At the end of the study period, with a median follow-up of 50 months, 19 had been effectively treated for URF, 16 were able to have colostomy closure with restoration of digestive continuity while four had a permanent stoma. One patient had anal incontinence, 14% had major stress urinary incontinence. Multidisciplinary care remains a cornerstone of the treatment of URF because iterative surgeries may be required, with an overall success rate of up to 95% at the end of follow-up.

A Study of the Clinical Profile and Management of Children With Anorectal Malformations.

Introduction The diagnosis of anorectal malformations (ARMs) antenatally is rare, and most of these cases are diagnosed in theneonatal period. The defects range from easily treated minor anomalies with good prognosisto those that are difficult and complex. The associated anomalies in these malformations are important determinants for the prognosis and outcome of these cases. Material and methods The present study was carried out in the department of pediatric surgery in a tertiary care institute. Patients presenting with ARMs in the neonatal period, those reported for definitive surgery, and patients for colostomy closure surgery were included. Patients who died before surgical treatment were excluded from the study. Convenience sampling of 100 patients who met the inclusion criteria was performed until the sample size was reached. Results Out of 63 cases of high variety, 84.12% were males and 15.87% were females. Out of 37 patients of low variety, 43.24% were males and 56.75% were females.The anomaliesof the urogenital system were present in 22 (34.92%) out of 63 cases of high ARMs and 10 (27.02%) out of 37 cases of low ARMs. In the male patients,anocutaneous fistula was in 16 (23.18%) of cases. Out of 31 females in the present study, anorectal agenesis with anovestibular fistula was seen in 19 (61.29%) cases. In the early complications, significant bleeding and urethral injury were seen in one (2.63%) patient each. However, among thelatecomplications, anal stenosis, mucosal prolapse, and wound infection were seen in seven (18.42%), five (13.15%), and four (10.52%) patients, respectively. Conclusion A holistic approach to the management of ARMs is needed with a long-term goal of achieving urinaryand fecal continence with good quality of life.The outcome of surgery is dependent on the specific type of malformation, but the results are better when intervention is done early.

Closure of Transverse Loop Colostomy.

Caiado, André M.D.1; Cabral, Francisco X. M.D.1; Barroca, Rita M.D.2 Author Information

Retrospective Analysis of the Outcome of Stoma Closure in Children without Preoperative Mechanical Bowel Preparation.

Stoma closure is one of the most frequently performed surgical procedures by pediatric surgeons worldwide. In this study, we studied the outcome of children undergoing stoma closures without mechanical bowel preparation (MBP) in our department. This is a retrospective observational study of children <18 years undergoing stoma closure from 2017 to 2021. The primary endpoints were surgical site infection (SSI), incisional hernia, anastomotic leak, and mortalities. The categorical data are expressed in percentages and the continuous data are in medians and interquartile ranges. The postoperative complications were classified according to the Clavien-Dindo system. A total of 89 patients underwent stoma closure without bowel preparation during the study. The anastomosis leak and incisional hernia were seen in one patient each. The SSIs occurred in 23 patients (25.9%), which were superficial in 21 and deep in 2 patients. The Clavien-Dindo Grade III complications occurred in 2 (2.2%) patients. The median duration to start feeds and pass first stools was significantly longer in patients with ileostomy closure (P = 0.04 and 0.001, respectively). The outcome of stoma closures without MBP was favorable in our study and hence it can be suggested that the use of MBP in colostomy closures can be safely avoided in children.

Strangulation of Giant Rectal Prolapse: A Case Report

Introduction Rectal prolapse is the complete protrusion of the rectum through the anal canal. Incarceration rarely complicates rectal prolapse. Even more rarely, it becomes strangled and gangrenous, necessitating emergency surgery. Case presentation We report an extremely rare case of strangulated acute rectal prolapse as the first manifestation of rectal prolapse. The patient was a 26-year-old man who presented on admission a 20 × 6 cm semispherical mass extra-anally. Rectosigmoidectomy associated to sacral rectopexy was performed with resection of 20 cm of the incarcerated rectum and sigmoid colon. The postoperative course was quite uneventful with an excellent final result after colostomy closure and continuity restoration. Conclusion The successful treatment of this patient illustrates the value of surgery in the difficult and unusual case scenario of rectal incarceration.

Analysis of factors related to the decision of Hartmann's procedure and its reversal: a single-center experience.

Hartmann's procedure (HP) is commonly applied to resolve acute clinical conditions in most cases with colonic obstruction or perforation. HP and the closure of the end colostomy are associated with high morbidity-mortality rates. In our study, we aimed to report our clinical experience in HP. Demographic data and outcomes of Hartmann procedures performed between 2015 and 2023 were retrospectively reviewed. The median age of our study was 63 (18-94) years; 65 of the patients were female, and 97 were male. Colorectal malig-nancies were the primary etiology in 50% of patients who underwent HP, with 70% presenting with obstruction and 30% with perfora-tion. Two-thirds of the patients were American Society of Anesthesiologists-2 or higher. Postoperative complications did not develop in 74.7% of patients. Our mortality rate was 33.3%. The colostomy was closed in 59 patients during an average 2-year follow-up. The median closure time was 311 (57-1319) days. A stapler was used in 89.8% of patients during the closure. A diverting ileostomy was created in only two patients. The median hospital stay was 8 (5-70) days. Post-operative complications did not develop in 25.4% of patients, while four patients died. In our population, HP was more commonly performed for colorectal cancer. The procedure and closure of the ostomy result in low stoma closure rates, high morbidity, and mortality rates, as well as surgical difficulties.

Pediatric Colonic Anastomosis: Can Method of Anastomosis and Wound Closure be of Help?

Enhanced recovery after surgery (ERAS) protocols after colorectal surgery focused on reduced bowel preparation, standardized feeding schedule, earlier return of bowel function, and earlier resumption of normal activities. ERAS in pediatric surgical practice is not well established. The present study aims to present the results of two colonic anastomosis techniques of interrupted single-layered closure: Halsted (Horizontal Mattress) and Matheson (serosubmucosal or appositional extramucosal) along with two different methods of colostomy wound closure and their influence on the adoption of ERAS protocol of early feeding and early discharge. This single institute-based randomized control study was conducted in a tertiary care facility in Kolkata for 2.4 years. Patients were chosen randomly for serosubmucosal (Group I) and full-thickness (Group II) anastomosis. Among total of 91 patients (Group I-43 and Group II-48), Return of bowel sounds and passage of bowel averaged 1.51 ± 0.51 and 1.91 ± 0.55 days in Group I and 1.91 ± 0.57 and 3.9 ± 0.66 days in Group II, respectively. Postoperative hospital stay averaged 5.88 ± 1.12 days in Group I and 8.9 ± 1.17 days in Group II. Overall 15 (16.48%) patients had complications among which SSI (Suprficial surgical site infection) and minor leaks (Group I-3 and 1 and Group II-5 and 3, respectively) which were treated conservatively (Clavien-Dindo Grade-I) and three major leaks under Group II requiring surgical intervention (Clavien-Dindo Grade-III). This study concludes that the technique of colostomy closure in the form serosubmucosal closure helps in the implementation of ERAS protocol by producing early bowel movement, early initiation of food, and less postoperative complications.

The Outcome of Single Stage versus Two Stage Repair in Anorectal Malformations with Recto-Vestibular Fistula

Background: Imperforate anus with recto-vestibular fistula is one of the most common anorectal malformations in females. Wound infection and disruption after recto-vestibular fistula repair may affect the fecal continence and functional outcome. Fecal incontinence may cause long term social, economical and psychological problems in children. Although a protective colostomy reduces the infectious complications and dehiscence, it is also associated with many problems. Aim: To compare the safety, feasibility, post operative complications and functional outcomes of limited posterior sagittal anorectoplasty with or without colostomy. Study design: Prospective descriptive study. Place and duration of sudy: Department of Pediatric Surgery, Sahiwal Teaching Hospital Sahiwal, from 1st January 2019 to 31st December 2021. Methodology: Forty-one patients with congenital recto-vestibular fistula were managed by two techniques. Patients were divided into two groups. Group A (19 patients): were operated by single stage limited posterior sagittal anorectoplasty without covering colostomy. Group B (22 patients): were operated by two stage technique. Limited posterior sagittal anorectoplasty and covering colostomy in first stage and stoma closure was done in second stage. The patients in both groups were evaluated for hospital stay, operation time, postoperative complications, fecal continence, constipation, bowel function. Results: The age of patients ranged from 11-56 months (mean 26.93 months) in Group A and 9-60 months (mean 27.03 months) in Group B. The total length of hospital stay in Group A ranged from 7-11 days (mean 9.20 days); however, in Group B, it ranged from 4-6 days (mean 5.01 days) for first stage procedure and 8-11 days (mean 9.27 days) for second stage colostomy closure procedure. In Group A, complications were, wound infection 03 (15.78%), anal stenosis 02 (10.52%), mucosal prolapse 01 (5.26%), constipation 04 (21.05%), soiling 04 (21.05%), perineal excoriation 03 (15.78%) and recurrent H-type recto-vestibular fistula 01 (5.26%). In Group B, during the first stage of repair, one patient (4.54%) developed wound infection. Mucosal prolapse was observed in one patient (4.54%). Constipation was reported in 03 (13.63%) and soiling in 01 (4.54%). Peri stoma skin excoriation was seen in five patients (22.72%). Stomal prolapse was observed in two patients (9.09%). Two patients (9.09%) developed wound infection after colostomy closure. Conclusion: Single stage repair of congenital recto-vestibular fistula increases the risk of postoperative complications. Two stage approach is associated with less postoperative complications. However it is associated with lengthy hospital stay, long operation time and complications related to stoma formation and closure. Keywords: Recto-vestibular fistula, Limited posterior sagittal anorectoplasty, Single stage technique, Two stage technique.

S2049 Important Considerations for Gastroenterologists to Take into Account in an Adult Patient With Anorectoplasty Secondary to Anorectal Malformation

Introduction: Anorectal malformations (ARMs) are congenital conditions with varying clinical presentations. The approximate incidence is 1:2,500 to 1:5,000 live births. Diagnosis and treatment are usually performed in childhood; therefore, ARMs are relatively rare in adults. However, some cases can go unnoticed in underdeveloped countries due to health care barriers and errors. Globally, few cases of ARMs have been reported in adulthood, so the literature is limited. Medical debate continues about the best approach and follow-up of the patient. The objective of this case is to describe the main gastroenterological points for consideration. Case Description/Methods: A 54-year-old female patient product of a vaginal birth delivered outside of medical facilities by unqualified personnel. Throughout the patient's childhood, she consulted different clinics and public health services for infections secondary to the discharge of feces through the vagina. In 2021, she was seen at a family medicine clinic of the national university in Guatemala for osteoarthritis. In her medical history, she mentioned the ARM condition and was referred to a proctologist who diagnosed an Imperforate Anus (Figure A) and a Rectovestibular Fistula, even though she had successfully delivered 3 infants by c-section. An MRI was ordered to rule out any other associated malformations prior to surgery. Subsequently, a 2-stage surgery under spinal anesthetic block was performed: First, a loop colostomy and Peña Posterior Sagittal Anorectoplasty were done (Figure B, C), with a thinning of the elevator and anus muscles diagnosed. Three months later a colostomy closure was performed. The patient has been followed monthly for 6 months with satisfactory results with anal dilatation reserved, if necessary, but the functionality of the neo-anus has, to date, been adequate. Discussion: The main points for consideration are a) age should not be a contraindication for corrective surgery; b) the functionality of the sphincter complex must be determined in each patient; c) due to the congenital etiology of the imperforate anus, as well as physiological and the anatomical changes, there has been no developed hemorrhoidal vascular network; d) the main anticipated complication is cicatricial stenosis of the neo-anus secondary to the surgical intervention, so programmed anal dilations should be considered if needed. Given the rarity of ARMs in adults, further manometric research of the physiology of the anal complex is required to establish functionality parameters.Figure 1.: Anorectoplasty Process: (a) Imperforate anus, (b) Anorectoplasty with reconstruction of the rectovaginal septum, (c) Anoplasty.

Types and Levels of Colostomy in Children with Anorectal Malformation

Objective: Divided colostomy for anorectal management is often recommended due to reports of higher complications associated with loop colostomy. This study was conducted to compare outcomes and complications in colostomies in children with anorectal malformations according to type and level of colostomy.&#x0D; Materials and Methods: A retrospective study was performed in children with anorectal malformations who underwent a colostomy at Siriraj Hospital between December 2003 and June 2018.&#x0D; Results: Out of 167 patients, 159 had a loop colostomy while 8 had a divided colostomy. Overall complication rates were 33.3% for loop colostomy and 62.5% for divided colostomy (p = 0.100). Urinary tract infection was the most frequently encountered complication in both loop and divided colostomies, at 23.7% and 50%, respectively (p = 0.094). The prolapse rate in the loop colostomy group was 8.8 % and 0% in the divided colostomy group (p = 0.376). Overall complication rates with respect to location of stoma also did not differ (p = 0.706). Prolapse rates were 15.8 % in transverse colostomy and 7.1 % in sigmoid colostomy (p = 0.231). Overall complications rates of colostomy closure in loop and divided colostomy was 7.5% and 12.5%, respectively (p = 0.672). Non-inferiority was demonstrated by the differences in overall complications of loop and divided colostomy (p = 0.008).&#x0D; Conclusion: There was no difference in incidence of complications between type or location of colostomy performed in children with anorectal malformations. Loop colostomy was non-inferior to divided colostomy in respect to overall complications.

Is colostomy closure without mechanical bowel preparation safe in pediatric patients? A randomized clinical trial

BackgroundMechanical bowel preparation (MBP) is largely used worldwide prior to colostomy closure in children, although its benefits are questioned by scientific evidence, and its use can cause adverse reactions. We hypothesized that colostomy closure procedures in children are not associated with increased complications (surgical site infection [SSI] and anastomotic leakage) when performed without MBP. Thus, we conducted a noninferiority trial to compare the safety and efficacy of colostomy takedown with and without MBP. MethodsA randomized noninferiority clinical trial was conducted at Hospital Infantil de Mexico in Mexico City from 2015 to 2019, in which the experimental group did not receive MBP prior to colostomy closure. A total of 79 patients were analyzed, and the primary outcomes were safety-related. Data were analyzed using the chi-squared test, Student's t-test, or Mann–Whitney U test as appropriate. ResultsThe demographics in both groups were comparable. Statistical analysis revealed equivalence in safety outcomes (superficial SSI, 22.5% vs 15.3% p = 0.420; deep SSI, 7.5% vs 0% p = 0.081; reoperation, p = 0.320; intestinal occlusion, p = 0.986); no anastomotic leakage was observed in any group. Secondary outcomes such as fasting time and length of hospital stay after surgery were also similar between the groups. However, patients who received MBP were admitted 2 days before surgery. ConclusionsOur findings indicate that withholding MBP prior to colostomy takedowns in children is not associated with increased complications. Omitting MBP also leads to less discomfort and shortens hospital length of stay, suggesting that it has safer and more effective procedures. Level of evidenceRandomized controlled clinical trial with adequate statistical power.

The effect of an enhanced recovery protocol in pediatric patients who undergo colostomy closure and Malone procedures.

Pediatric colorectal studies have shown enhanced recovery after surgery (ERAS) protocols can safely improve outcomes. This study sought to determine the impact of an ERAS pathway on the outcomes of children with colorectal conditions who underwent colostomy closure or Malone procedure. A single-institution, retrospective cohort study of children who underwent colostomy closure or Malone procedure between 2016 and 2020 was performed. Differences in outcomes between pre-ERAS and ERAS cohorts were tested. A sub-analysis based on procedure type was performed. There were 96 patients included: 22 prior to ERAS implementation and 74 after. Patients who underwent ERAS had shorter mean time (hours) to oral intake, mean days until regular diet, post-operative opioid volume, and median length of stay (p < 0.05). There was no difference in complication rates in the ERAS and pre-ERAS cohort (12.2 vs 9.1%, p = 0.99). Patients who underwent colostomy closure after ERAS had lower post-operative opioid use, but no differences were seen in those who underwent Malone. Implementation of an ERAS protocol resulted in quicker time to oral intake, normal diet, and decreased opioid use without increasing complication rates. Differences seen based on procedure type may reflect that the effect of an ERAS protocol is procedure specific.

Kolostomi Kapatılması Sonrası Erken Dönem Rektal Tüp Uygulamanın Barsak Peristaltizmine Etkisi

Objective: All surgeons performing colostomy closure strive to achieve early postoperative intestinal peristalsis in their patients. Early peristalsis following abdominal surgery leads to a shorter time to flatulence/defecation, thereby allowing early transition to oral feeding and early hospital discharge. The aim of this study was to investigate the effect of rectal tube applied after colostomy on intestinal peristalsis, time to first flatulence/defecation, and time to hospital discharge.&#x0D; Material and Methods: This retrospective study included 40 patients that underwent colostomy closure between September 2013 and October 2020. Age, gender, and indications for colostomy were reviewed for each patient. Patients were divided into two groups as patients who underwent and those who did not&#x0D; undergo rectal tube application. In both groups, time to first flatulence/defecation, time to oral feeding, and hospitalization period were recorded.&#x0D; Results: The 40 patients comprised 26 boys and 14 girls with a mean age of 3.46±2.11 years. Time to first flatulence/defecation and hospitalization periods were significantly shorter in patients that underwent rectal tube placement than in patients that did not undergo rectal tube placement (p=0.001).&#x0D; Conclusion: Rectal tube application following colostomy leads to early onset of intestinal peristalsis and a shorter time to flatulence/defecation, thereby allowing early transition to oral feeding and early hospital discharge.

Evaluation of Factors Affecting Colostomy Closure Outcome in Children: A One-Year Prospective Cohort Study

Evaluation of Factors Affecting Colostomy Closure Outcome in Children: A One-Year Prospective Cohort Study

Complications of Colostomy Reversal in Patients with Imperforate ANUS

Background: Colostomy reversal after definitive procedure in patients of Imperforate Anus (for example; PSARP) can be difficult and challenging for surgeon due to proximal and distal gut lumen discrepancy, short length of distal loop, difficult mobilization of stoma. These factors affect the anastomosis and anastomosis is done under tension due to these factors. Colostomies which are reversed under tension mostly results in anastomosis leakage and increases the morbidity and mortality rate. The objective of this study to assess postoperative outcome in terms of complications following colostomy closure in patients with imperforate anus. Material and Methods: This is a prospective study done at the Department of Pediatric Surgery, National Institute of Child Health Karachi during the period of 6months from December 2016 to June 2017. A Self- structured performa was used to collect the data of total 84 Patients who Underwent Colostomy Reversal after definitive procedure for imperforate anus . Data analyzed through SPSS version 20. A descriptive statistical analysis of continous and categorical variables were performed. Continuous data (like age) expressed as mean SD. The categorical data like gender, wound infections , anastomosis leakage expressed in frequency and percentages. Results: Out of total 84 children, majority 51 (60.7%) children were presented with ≤4 years of age (Mean age 4.15±3.12 years). Majority 55 (65.5%) children were presented with &gt;8 kg of weight (Mean weight 13.31±6.00 kg). There were 41 (48.8%) males and 43 (51.2%) females. Intra-operative difficulty was found in 55 (65.5%) children. Postoperative complication showed that wound infections were observed in 10 (11.9%) children while frequency of anastomotic leakage was found in 12 (14.3%) children. Conclusion: Anastomotic leakage was found to be higher following colostomy closure in children with intra-operative difficulty due to proximal and distal gut lumen discrepancy, short length of distal loop and dense adhesions making difficult the mobilization of stoma. Keywords: Postoperative outcome, Complications, Colostomy closure, Imperforate anus

Closed-wound negative pressure therapy dressing after loop ostomy closure: a retrospective comparative study

Closed-wound negative pressure wound therapy (NPWT) dressings were recently introduced with the purpose to reduce incisional surgical site infections (iSSI) in high-risk wounds. The aim of this study was to compare iSSI rates in patients after ostomy closure with and without additional application of a closed-wound NPWT dressing. Single-center retrospective analysis of consecutive patients undergoing ileo- or colostomy closure over an 8-year period (January 2013—January 2021). Intradermal non-purse string technique with absorbable sutures were used in all patients. Since November 2018, all patients (study group) received a NPWT device for a maximum of 5 days postoperatively (PICO, SMITH AND NEPHEW). Primary outcome was iSSI rate within 30 days of surgery. SSI was defined in accordance with the Center of Disease Control (CDC) classification and included superficial and deep incisional SSI. Data was retrieved from the institutional enhanced recovery after surgery (ERAS) database, with standardized complication assessment by trained abstractors. In total, 85 patients (25%) in the study group were comparable with 252 (75%) patients in the control group regarding demographics (age, gender, body mass index, ASA score), ostomy type and anastomotic technique (all p > 0.05), but not wound contamination class (class III: 5% vs 0%, p < 0.001). Median time to NPWT removal was 4 (IQR 3–5) days. Incisional SSI were observed in 4 patients (4.7%) in the study group and in 27 patients (10.7%) in the control group (p = 0.097). These preliminary results suggest a potential benefit of systematic application of the NPWT device after loop ostomy closure. A randomized controlled study is needed.