Linear Versus Purse String Skin Closure at Loop Ileostomy Reversal.
NCT07573423 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 252
Last updated 2026-05-12
Summary
This study is a randomized controlled trial designed to compare two commonly used skin closure techniques-linear closure and purse-string closure-after loop ileostomy reversal surgery. Surgical site infection (SSI) is one of the most frequent complications following stoma closure, leading to increased patient discomfort, prolonged hospital stay, and higher healthcare costs.
In this trial, eligible adult patients undergoing elective loop ileostomy reversal are randomly assigned to either linear skin closure or purse-string skin closure. The purse-string technique leaves a small central opening that allows drainage, which may reduce infection risk, whereas linear closure involves complete approximation of the wound edges.
All patients are managed according to standard hospital protocols and are followed during their hospital stay and for 30 days after surgery. The primary outcome is the occurrence of surgical site infection. Secondary outcomes include length of hospital stay and operative time.
The purpose of this study is to determine which closure technique provides better outcomes in terms of reducing postoperative infections and improving recovery. The findings may help guide surgeons in selecting the most effective and safe method for skin closure after ileostomy reversal.
Conditions
- Surgical Site Infection (SSI)
- Ileostomy Closure
- Surgical Technique Comparison
Interventions
- PROCEDURE
-
Linear Skin Closure
Closure of the ileostomy reversal wound using conventional linear suturing with complete approximation of skin edges.
- PROCEDURE
-
Purse-String Skin Closure
Closure of the ileostomy reversal wound using purse-string suturing technique, leaving a central gap for drainage to reduce infection risk.
Sponsors & Collaborators
-
Hayat Abad Medical Complex, Peshawar
lead OTHER_GOV
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-06-22
- Primary Completion
- 2025-07-01
- Completion
- 2025-07-31
Countries
- Pakistan
Study Locations
More Related Trials
-
Loop Ileostomy Closure:Stapled or Hand-sewn Anastomoses? Suture or Mesh Closure of the Stoma Site?
NCT02669992 ·Status: RECRUITING ·Phase: NA
-
A Prospective Clinical Trial of Colostomy-replacement Combined With Bio-mesh Placement in the Prevention of SSIH
NCT05627284 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Small-bite Versus Conventional Midline Fascial Closure in Abdominal Surgeries
NCT07340918 ·Status: COMPLETED
-
Comparison of Chest Tube Wound Closure: Comparison Between Purse String Method and Plug Method.
NCT07319572 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Primary Versus Secondary Closure of Stoma-Reversal Skin Wound
NCT04785404 ·Status: COMPLETED ·Phase: NA
-
B-suture Ileostomy in Clinical Practice: a Retrospective, Single-center, Propensity Score-matched Study
NCT05915052 ·Status: COMPLETED ·Phase: NA
-
Primary Closure vs Open Technique for Pilonidal Sinus
NCT07311707 ·Status: COMPLETED ·Phase: NA
-
Outcome of Primary vs Delayed Primary Closure of Laparotomy in Dirty Abdominal Wounds
NCT07531576 ·Status: COMPLETED ·Phase: NA
-
Comparison of Surgical Site Infection Rate Between Primary, Delayed Primary and Vacuum Assisted Closures.
NCT02649543 ·Status: COMPLETED ·Phase: NA
-
Emergency Intestinal Anastmosis
NCT07321743 ·Status: COMPLETED ·Phase: NA
-
Compare Stoma Reversal Wound Outcomes Between NPWT and Secondary Intention Healing
NCT07258134 ·Status: COMPLETED ·Phase: NA
-
Lipomodelling for Symptomatic Peri-stomal Skin Contour Abnormalities: a Pilot and Feasibility Study
NCT02090985 ·Status: UNKNOWN ·Phase: PHASE1
-
Evaluation of Purse-String Closure Vs Second Intention
NCT02062866 ·Status: COMPLETED ·Phase: NA
-
Effect of Continuous Versus Interrupted Suturing on Wound Dehiscence and Infection After Abdominal Surgery
NCT07241507 ·Status: COMPLETED ·Phase: NA
-
Needle-Aspirated Compression Dressing Following Ostomy Reversal
NCT03703661 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparing Polyglactin vs Polypropylene Sutures for Rectus Sheath Closure
NCT07280975 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Prevention of Fascial Dehiscence With Prophylactic Onlay Mesh in Emergency Laparotomies
NCT03293862 ·Status: COMPLETED ·Phase: NA
-
A Trial Comparing Stapled Versus Monocryl Sutured Skin Closure for Elective Open Colectomy
NCT01907542 ·Status: UNKNOWN ·Phase: NA
-
Pursestring Wound Closure vs "Gunsight" Skin Incision and Closure Technique to Reverse Stoma
NCT02053948 ·Status: COMPLETED ·Phase: NA
-
Aesthetic Outcome of Intra-dermal Versus Transcutaneous Purse-string Closure
NCT06448481 ·Status: RECRUITING ·Phase: NA
-
Comparative Study Between Wide Local Excision and Minimal Excision of Pilonidal Sinus
NCT06021392 ·Status: UNKNOWN
-
One Piece Drainable Pouch in Subjects With an Ileostomy
NCT01939106 ·Status: COMPLETED ·Phase: PHASE2
-
Trial of Techniques for Umbilical Reconstruction
NCT02723409 ·Status: COMPLETED ·Phase: NA
-
Comparison of Wound Healing in Fistulectomy and Fistulectomy With Marsupialization
NCT07080424 ·Status: COMPLETED
-
A Phase II Multi Centre Study to Assess the Safety and Performance of Two Prototype One Piece Pouches in Subjects With an Ileostomy
NCT01782196 ·Status: TERMINATED ·Phase: NA