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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 144 - 149 (6page)
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Purpose: Infection is one of the most frequent complications that can occur after ileostomy closure. The incidence of wound infection depends on the skin closure technique, but there is no agreement on the perfect closure method for an ileostomy wound. The aim of this study was to evaluate the incidence of infection, the patient’s approval, and the patient’s pain between purse-string closure (PSC) and the usual linear closure (LC) of a stoma wound. Methods: This randomized clinical trial enrolled 66 patients who underwent a stoma closure from February 2015 to May 2015 in Sari Emam Khomeini Hospital. Patients were divided into 2 groups according to the stoma closing method: the PSC group (n = 34) and the LC group (n = 32). The incidences of infection for the 2 groups were compared, and the patients’ satisfaction and pain with the stoma were determined by using a questionnaire. Results: Infection occurred in 1 of 34 PSC patients (2.9%) and in 7 of 32 LC patients (21.8%), and this difference was statistically significant (P = 0.021). Patients in the PSC group were more satisfied with the resulting wound scar and its cosmetic appearance at one month and three months after surgery (P = 0.043). Conclusion: After stoma closure, PSC was associated with a significantly lower incidence of wound infection and greater patient satisfaction compared to LC. However, the healing period for patients who underwent PSC was longer than it was for those who underwent LC.
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참고문헌 (25)
참고문헌 신청
Tan WS / 2009 / Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer / Br J Surg 96:462~472
McGrath DR / 2004 / Management of colorectal cancer patients in Australia: the National Colorectal Cancer Care Survey / ANZ J Surg 74:55~64
Banerjee A / 1997 / Pursestring skin closure after stoma reversal / Dis Colon Rectum 40:993~994
Hackam DJ / 1995 / Stoma closure and wound infection: an evaluation of risk factors / Can J Surg 38:144~148
Vermulst N / 2006 / Primary closure of the skin after stoma closure. Management of wound infections is easy without (long-term) complications / Dig Surg 23:255~258
McGrath DR / 2004 / Management of colorectal cancer patients in Australia: the National Colorectal Cancer Care Survey / ANZ J Surg 74:55~64
Banerjee A / 1997 / Pursestring skin closure after stoma reversal / Dis Colon Rectum 40:993~994
Hackam DJ / 1995 / Stoma closure and wound infection: an evaluation of risk factors / Can J Surg 38:144~148
Vermulst N / 2006 / Primary closure of the skin after stoma closure. Management of wound infections is easy without (long-term) complications / Dig Surg 23:255~258
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