Stoma Reversal Procedure
Conditions
Brief summary
To compare outcomes of purse-string skin closure and conventional linear skin closure techniques in patients undergoing stoma reversal
Detailed description
Upon receiving permission from the ERC, children who fulfill the operational definitions and inclusion criteria will be enrolled in the research after informed consent. Children of both genders, age 8 months to 12 years, undergoing ileostomy or colostomy reversal will be included. All patients will be divided into two groups by lottery method by offering them to pick up slip. In group A patients, skin wound closure after stoma reversal will be done with technique of purse-string closure. In group B patients, skin closure after reversal will be done with technique of conventional linear closure. All procedures will be performed by the same. Outcome of surgery will be noted in every patient of both groups as per operational definition. This all data will be recorded on a specially designed proforma
Interventions
Closure of stoma reversal wound using purse-string approximation technique
Closure of stoma reversal wound using conventional linear skin closure technique.
Sponsors
Study design
Eligibility
Inclusion criteria
* Children of both genders * 8 months to 12 years * Undergoing ileostomy or colostomy reversal will be include
Exclusion criteria
* • Patients with Re-current stoma prolapse * Patients with Re-do stomas * Patients with underlying chronic inflammatory and neoplastic conditions (Tuberculosis, Maligency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical Site Infections | 7 days | The presence of infection at the wound site, identified by clinical signs (e.g., redness, swelling, pus) |
| Time for wound healing | 6 weeks | The duration from the surgical procedure until the wound is fully healed. It will be assessed on clinical examination of wound closure, including inspection for signs of epithelialization and the absence of gaps or dehiscence. |
| Length of stay | 10 days | The total number of days a patient in a hospital from admission till discharge date. |
Countries
Pakistan