{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T11:39:59Z","timestamp":1753357199463,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The closure of ileostomy is associated with significant morbidity, the most common being surgical site infection (SSI), ranging up to 41%. This study compared the stoma site SSI rates after either the conventional\u2010linear closure (CLC) or purse\u2010string closure (PSC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study conducted a single\u2010centre retrospective cohort study of elective loop\u2010ileostomy closures from June 2015 to January 2021. Patient demographics, surgical techniques and outcomes, including SSI rates, were analysed using SPSS ver.27.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hundred and six patients underwent loop\u2010ileostomy closure, 91.5% (<jats:italic>n<\/jats:italic>\u00a0=\u00a097) had CLC of which 67% (<jats:italic>n<\/jats:italic>\u00a0=\u00a065) were stapled. Male patients comprise 67.9%, with a median age of 62. The median BMI was 27. The median surgical time, LOS and interval time to closure were 66\u2009min, 4.5\u2009days and 5.5\u00a0months, respectively. The SSI rate was 19.6% (<jats:italic>n<\/jats:italic>\u00a0=\u00a019) for CLC and 11.1% (<jats:italic>n<\/jats:italic>\u00a0=\u00a01) for PSC. The SSI rate was significantly reduced to 3.7% (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) in CLC when the site was washed with betadine. Multivariate logistic regression controlled for statistically insignificant confounders showed that stoma site betadine wash was significantly and independently associated with reduced SSI risk (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.026). Other significant factors which reduced SSI risk were prophylactic antibiotic therapy (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.004), operative time\u2009&lt;\u200960\u2009min (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.021), and having the closure done &gt;3\u00a0months post the formation surgery (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.040).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study found that stoma SSI risk was independently and significantly reduced when CLC stapled site was washed with betadine. This low\u2010cost intervention that significantly reduced skin closure site SSI rates is readily available and can easily be adopted into clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18083","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T14:13:53Z","timestamp":1664979233000},"page":"629-635","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Single\u2010centre experience of loop ileostomy closure: a retrospective comparison of conventional\u2010linear closure and purse\u2010string closure on surgical\u2010site\u2010infection rates"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0491-4283","authenticated-orcid":false,"given":"Munyaradzi G.","family":"Nyandoro","sequence":"first","affiliation":[{"name":"General and Colorectal Surgery St John of God Midland Hospital  Midland Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5566-6323","authenticated-orcid":false,"given":"Yi Th'ng","family":"Seow","sequence":"additional","affiliation":[{"name":"General and Colorectal Surgery St John of God Midland Hospital  Midland Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Stein","sequence":"additional","affiliation":[{"name":"General and Colorectal Surgery St John of God Midland Hospital  Midland Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Theophilus","sequence":"additional","affiliation":[{"name":"General and Colorectal Surgery St John of God Midland Hospital  Midland Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0189-6725.70415"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31827888f6"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000209"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02051210"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001755"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7151"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000401"},{"key":"e_1_2_10_9_1","article-title":"Intracavity lavage and wound irrigation for prevention of surgical site infection","volume":"2017","author":"Norman G","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-017-2154-6"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-051374"},{"key":"e_1_2_10_12_1","first-page":"337","article-title":"Multivariate analysis of risk factors for complications after loop ileostomy closure","volume":"87","author":"Vergara\u2010Fernandez O","year":"2019","journal-title":"Cir. Cir."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16079"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-018-4603-0"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.18083","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.18083","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.18083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T19:57:23Z","timestamp":1692647843000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.18083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,5]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/ans.18083"],"URL":"https:\/\/doi.org\/10.1111\/ans.18083","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2022,10,5]]},"assertion":[{"value":"2022-04-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}