Effectiveness of negative pressure wound therapy with instillation and dwelling after stoma closure: a retrospective and propensity score matching analysis
| العنوان: | Effectiveness of negative pressure wound therapy with instillation and dwelling after stoma closure: a retrospective and propensity score matching analysis |
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| المؤلفون: | Toshiaki Wada, Hokuto Ushijima, Yasumasa Yoshioka, Yusuke Makutani, Yasutaka Chiba, Yoshinori Yane, Koji Daito, Masayoshi Iwamoto, Junichiro Kawamura, Kazuki Ueda, Jin-ichi Hida, Tadao Tokoro |
| المصدر: | Scientific Reports Scientific Reports, Vol 12, Iss 1, Pp 1-8 (2022) |
| بيانات النشر: | Nature Publishing Group UK, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | medicine.medical_specialty, Wound Healing, Multidisciplinary, business.industry, Science, medicine.medical_treatment, Gastroenterology, Gastrointestinal system, Colorectal cancer, Article, Inflammatory bowel disease, Surgery, Stoma closure, Negative-pressure wound therapy, Propensity score matching, medicine, Medicine, Anal cancer, business, Gastrointestinal diseases |
| الوصف: | The use of temporary diverting stoma has become more common in low colorectal anastomosis to reduce anastomotic complications. Surgical site infection (SSI) at the stoma closure site has been one of the most frequent postoperative complications. The aim of this study was to compare the short-term outcomes between conventional primary suture closure and negative pressure wound therapy with instillation and dwelling (NPWTi-d) therapy following purse-string suturing, using propensity score matching analysis. We retrospectively evaluated the medical records of 107 patients who underwent stoma closure between January 2016 and October 2020. The primary outcome was the proportion of SSI. The secondary outcome was the day of postoperative length of stay. Propensity score matching with one-to-one match was performed for reducing treatment selection bias. Of a total of 107 patients, 67 patients had been treated with conventional primary closure and 40 with NPWTi-d therapy. The propensity score matching derived 37 pairs. The respective SSI proportions were 0% and 16.2% in the groups with NPWTi-d and primary closure (P = 0.025). The respective median days of postoperative hospital stay were 9.0 and 10.0 in the groups with NPWTi-d and primary closure (P = 0.453). NPWTi-d therapy with purse-string suturing was effective in reducing SSI after stoma closure. |
| اللغة: | English |
| تدمد: | 2045-2322 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f453b08346496e9e25ff66cbdb29d1e3 http://europepmc.org/articles/PMC8766549 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f453b08346496e9e25ff66cbdb29d1e3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20452322 |
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