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Wound Infection Following Stoma Reversal: A Prospective Comparative Study

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Burns, Infections and Wound Management

Part of the book series: Recent Clinical Techniques, Results, and Research in Wounds ((RCTRRW,volume 2))

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Abstract

Wounds following stoma closures are at a high risk of infection due to the presence of the intestinal flora. Hence a wound breakdown after a primary stoma closure is common. In anticipation of such a surgical site infection, stoma closure wounds can be treated with antimicrobial agents while allowing the wound to heal with a secondary intention. While most skin antiseptics have similar efficacies, silver dressing has the advantage of patient convenience with its less frequent need of dressing change.

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References

  1. Harold DM, Johnson EK, Rizzo JA, Steele SR (2010) Primary closure of stoma site wounds after ostomy takedown. Am J Surg 199:621–624

    Article  Google Scholar 

  2. Van de Pavoordt H, Fazio V, Jagelman D (1987) The outcome of loop ileostomy closure in 293 cases. Int J Colorect 2:214–217

    Article  Google Scholar 

  3. Hackam DJ, Rotstein OD (1995) Stoma closure and wound infection: an evaluation of risk factors. Can J Surg 38:144–148

    CAS  PubMed  Google Scholar 

  4. Jones SA, Bower PG, Walker M, Parsons D (2004) Controlling wound bioburden with a novel silver-containing Hydrofiber dressing. Wound Repair Regen 12:288–294

    Article  Google Scholar 

  5. Vanscheidt W, Lazareth I, Routkovsky-Norval C (2003) Safety evaluation of a new ionic silver dressing in the management of chronic ulcers. Wounds 15(11):371–378

    Google Scholar 

  6. Coutts P, Sibbald RG (2005) The effect of a silver-containing Hydrofiber dressing on superficial wound bed and bacterial balance of chronic wounds. Int Wound J 2:348–356

    Article  Google Scholar 

  7. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR (1999) Hospital Infection Control Practices Advisory Committee. Guideline for prevention of surgical site infection. American journal of infection control. 30;27(2):97–134

    Google Scholar 

  8. Phang P, Hain J, Perez-Ramirez J (1999) Techniques and complications of ileostomy takedown. Am J Surg 177:463–466

    Article  CAS  Google Scholar 

  9. Berry DP, Scholefield JH (1997) Closure of loop ileostomy. Br J Surg 84(4):524

    Article  CAS  Google Scholar 

  10. Wong KS, Remzi FH, Gorgun E, Arrigain S, Church JM, Preen M, Fazio VW (2005) Loop ileostomy closure after restorative proctocolectomy: outcome in 1,504 patients. Dis Colon Rectum 48:243–250

    Article  Google Scholar 

  11. Benarjee A (1997) Purse-string skin closure after stoma reversal. Dis Colon Rectum 40:993–994

    Article  Google Scholar 

  12. Klink CD et al (2013) Influence of skin closure technique on surgical site infection after loop ileostomy reversal: retrospective cohort study. Int J Surg 11:1123–1125

    Article  CAS  Google Scholar 

  13. Suh YJ, Park JW, Kim YS, Park SC, JH O (2014) A beneficial effect of purse-string skin closure after ileostomy takedown: a retrospective cohort study. Int J Surg 12(6):615–620

    Article  Google Scholar 

  14. Lee JR, Kim YW, Sung JJ, Song OP, Kim HC, Lim CW, Cho GS, Jung JC, Shin EJ (2011) Conventional linear versus purse-string skin closure after loop ileostomy reversal: comparison of wound infection rates and operative outcomes. J Korean Soc Coloproctol 27(2):58–63

    Article  Google Scholar 

  15. Zubaidah NH, Soo JY, Qisti N, Ong KW, Gee T (2016) Wound infection following stoma reversal: a prospective comparative study between primary closure and partial closure with intervening silver dressings. Int J Colorectal Dis 31(7):1381–1382

    Article  CAS  Google Scholar 

  16. Ovington LG (2001) Hanging wet to dry dressings out to dry. Home Healthc Nurse 19:477–483

    Article  CAS  Google Scholar 

  17. White RJ (2001) New developments in the use of dressings on surgical wounds. Br J Nurs 10(6 suppl):S70

    Article  CAS  Google Scholar 

  18. Leaper DJ (2006) Silver dressings: their role in wound management. Int Wound J 3:282–294

    Article  Google Scholar 

  19. White RJ (2001) An historical overview of the use of silver in wound management. Br J Nurs 10(suppl):3–8

    Article  Google Scholar 

  20. Ip M, Sau LL, Poon VKM, Lung I, Burd A (2006) Antimicrobial activities of silver dressings: an in vitro comparison. J Med Microbiol 55:59–63

    Article  CAS  Google Scholar 

  21. Fraser JF, Bodman J, Sturgess R, Faoagali J, Kimble RM (2004) An in vitro study of the anti-microbial efficacy of a 1% silver sulphadiazine and 0.2% chlorhexidine digluconate cream, 1% silver sulphadiazine cream and a silver coated dressing. Burns 30:35–41

    Article  Google Scholar 

  22. Carter MJ, Tingley-Kelley K, Warriner RA (2010) Silver treatments and silver- impregnated dressings for the healing of leg wounds and ulcers: a systematic review and meta-analysis. J Am Acad Dermatol 63(4):668–679

    Article  CAS  Google Scholar 

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Funding

Research grant from University Putra Malaysia.

Conflict of Interest None.

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Authors and Affiliations

  1. Department of Surgery, Faculty of Medicine and Health Science, University Putra Malaysia, 43400 UPM-Serdang, Selangor, Malaysia

    Zubaidah Nor Hanipah M.D., Soo Jia Ying, Nik Qisti Fathi, Ong Kheng Wah & Tikfu Gee

Authors
  1. Zubaidah Nor Hanipah M.D.
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  2. Soo Jia Ying
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  3. Nik Qisti Fathi
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  4. Ong Kheng Wah
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  5. Tikfu Gee
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Corresponding author

Correspondence to Zubaidah Nor Hanipah M.D. .

Editor information

Editors and Affiliations

  1. Tustin, CA, USA

    Melvin A. Shiffman

  2. Newport Beach, CA, USA

    Mervin Low

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Hanipah, Z.N., Ying, S.J., Fathi, N.Q., Wah, O.K., Gee, T. (2017). Wound Infection Following Stoma Reversal: A Prospective Comparative Study. In: Shiffman, M., Low, M. (eds) Burns, Infections and Wound Management. Recent Clinical Techniques, Results, and Research in Wounds, vol 2. Springer, Cham. https://doi.org/10.1007/15695_2017_37

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  • DOI: https://doi.org/10.1007/15695_2017_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10685-0

  • Online ISBN: 978-3-030-10686-7

  • eBook Packages: MedicineMedicine (R0)

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