Department of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Department of Gastroenterological Surgery, Kindai University Nara Hospital, Ikoma, Nara, Japan.
BMC Surg. 2021 Mar 22;21(1):157. doi: 10.1186/s12893-021-01109-2.
Temporary stomas have been widely used to avoid the risk of complications such as anastomotic leakage after colorectal resection. Stoma closure is relatively easy; however, postoperative surgical site infection (SSI) may be a problem. Various methods have been used to reduce the incidence of SSI. We aimed to evaluate a new technique for stoma wound closure.
We enrolled patients who underwent stoma closure at our hospital between September 2019 and May 2020. We selected patients who lived far from our hospital and had difficulty visiting the hospital regularly and who agreed to undergo this surgical technique. We used negative pressure wound therapy with instillation and dwelling (NPWTi-d) and delayed primary closure for these patients.
Four patients underwent NPWTi-d and delayed primary closure without the occurrence of SSI. The median postoperative hospital stay was 9 days (range: 7-14 days), and the median number of days to confirmation of epithelialization was 11.5 days (range: 10-16 days).
The combined use of NPWTi-d and delayed primary closure for the stoma wound was very effective. This method may be a valuable new technique for wound management after stoma closure.
结肠直肠切除术后，临时造口术被广泛用于避免吻合口漏等并发症的风险。造口关闭相对容易；然而，术后手术部位感染（SSI）可能是一个问题。已经使用了各种方法来降低 SSI 的发生率。我们旨在评估一种新的造口伤口闭合技术。
我们招募了 2019 年 9 月至 2020 年 5 月在我院接受造口关闭的患者。我们选择了居住在远离我们医院的地方且定期来医院就诊有困难并同意接受这种手术技术的患者。我们对这些患者使用了灌洗式和留置负压伤口治疗（NPWTi-d）和延迟一期闭合。
四名患者接受 NPWTi-d 和延迟一期闭合，没有发生 SSI。术后住院中位数为 9 天（范围：7-14 天），上皮化确认的中位数天数为 11.5 天（范围：10-16 天）。
NPWTi-d 和延迟一期闭合联合用于造口伤口非常有效。这种方法可能是造口关闭后伤口管理的一种有价值的新技术。
