-Case Reports-

Subcuticular Suturing with Closed Suction Drainage for Wound Closure Following Stoma Reversal

Kazuhiko Yoshimatsu, Masano Sagawa, Hajime Yokomizo, Yuki Yano, Sachiyo Okayama, Masaya Satake, Yasufumi Yamada, Atsuo Matsumoto, Shunichi Shiozawa, Takeshi Shimakawa, Takao Katsube and Yoshihiko Naritaka

Department of Surgery, Tokyo Women's Medical University, Medical Center East, Tokyo, Japan

Incisional surgical site infection (SSI) is a leading complication of stoma reversal procedures. This retrospective study was conducted to assess the incidence of incisional SSI and other wound complications when wound closure was achieved by subcuticular suturing and closed suction drainage following stoma reversal. We analyzed data from a total of 49 patients, all of whom had undergone insertion of a 10 Fr closed suction drainage tube in the fascia, following irrigation with approximately 300 mL of physiological saline. We then performed subcuticular suturing with 4-0 monofilament absorbable sutures. The median age of our patient population (34 men and 15 women) was 68 (range, 35-84) years. Six patients had an end stoma and 43 had a loop stoma. The wound category was 'contaminated' in 18 patients, while an incisional SSI was observed in one patient (2.0%). No wound disruptions, seromas, or drain infections were evident. Our data are reliable, but our study is limited in terms of general applicability; however, the low SSI rate indicates that the procedure is acceptable. Further research into this procedure will require a randomized trial design.

J Nippon Med Sch 2018; 85: 183-186

Keywords
subcuticular suture, closed suction drain, stoma reversal, wound infection

Correspondence to
Masano Sagawa, PhD, Department of Surgery, Tokyo Women's Medical University, Medical Center East, 2-1-10 Nishiogu Arakawa-ku, Tokyo 116-8567, Japan
masanosagawa@yahoo.co.jp

Received, September 11, 2017
Accepted, February 5, 2018