Comparison of modified gunsight suture technique and traditional interrupted suture in enterostomy closure  

作　　者：Chang Chen Xiang Zhang Zhi-Qiang Cheng Bin-Bin Zhang Xin Li Ke-Xin Wang Yong Dai Yan-Lei Wang 

机构地区：[1]Department of Colorectal Surgery,Qilu Hospital,Shandong University,Jinan 250012,Shandong Province,China [2]Department of Nursing,Qilu Hospital of Shandong University De Zhou Hospital,Dezhou 254300,Shandong Province,Chin [3]Department of General Surgery,Huantai Branch of Qilu Hospital of Shandong University,Zibo 255000,Shandong Province,China

出　　处：《World Journal of Gastroenterology》2023年第29期4571-4579,共9页世界胃肠病学杂志（英文版）

基　　金：the Natural Science Foundation of Shandong Province,No.ZR2020MH257。

摘　　要：BACKGROUND Prophylactic enterostomy surgery is a common surgical approach used to reduce the risk of anastomotic leakage in patients who have undergone partial intestinal resection due to trauma or tumors.However,the traditional interrupted suturing technique used in enterostomy closure surgery has several issues,including longer surgical incisions and higher incision tension,which can increase the risk of postoperative complications.To address these issues,scholars have proposed the use of a“gunsight suture”technique.This technique involves using a gunsight incision instead of a traditional linear incision,leaving a gap in the center for the drainage of blood and fluid to reduce the risk of infection.Building on this technique,we propose an improved gunsight suture technique.A drainage tube is placed at the lowest point of the incision and close the gap in the center of the gunsight suture,which theoretically facilitates early postoperative mobility and reduces the burden of dressing changes,thereby reducing the risk of postoperative complications.AIM To compare the effectiveness of improved gunsight suture technique with traditional interrupted suture in closing intestinal stomas.METHODS In this study,a retrospective,single-center case analysis was conducted on 270 patients who underwent prophylactic ileostomy closure surgery at the Department of Colorectal Surgery of Qilu Hospital from April 2017 to December 2021.The patients were divided into two groups:135 patients received sutures using the improved gunsight method,while the remaining 135 patients were sutured with the traditional interrupted suture method.We collected data on a variety of parameters,such as operation time,postoperative pain score,body temperature,length of hospital stays,laboratory indicators,incidence of incisional complications,number of wound dressing changes,and hospitalization costs.Non-parametric tests and chi-square tests were utilized for data analysis.RESULTS There were no statistically significant differences in general patie

关 键 词：ENTEROSTOMY Abdominal wound closure technique Suture techniques Surgical wound infection Hospital costs Hospital stay 

分 类 号：R656[医药卫生—外科学]