The modified cross-suture technique for loop stoma reversal: A single-center randomized controlled study

Abstract

Abstract Objective: To explore the application effect of modified cross-suture technique in loop stoma reversal. Methods: From June 2019 to December 2022, patients with loop stoma reversal were divided into observation group (35 cases) and control group (25 cases) according to the numerical random method. According to the different methods of skin suture, the observation group was treated with modified cross-suture technique, and the control group was treated with interrupted suture method. The operation time, intraoperative blood loss, postoperative out-of-bed time, postoperative exhaust time, postoperative eating time, primary healing time, incision infection rate, incision healing time after incision infection, postoperative hospital stay, postoperative early pain score, and overall patient satisfaction score were compared between the two groups. Results: There were no significant differences in age, gender, body mass index, American Society of Anesthesiologists, disease history, remission interval, operation time, intraoperative blood loss, and primary healing time between the two groups (P>0.05). The postoperative out-of-bed time, postoperative exhaust time, postoperative eating time, postoperative hospitalization time, hospitalization cost, postoperative early pain score, and incision infection rate in the observation group were all lower than those in the control group (P<0.05). The healing time after incision infection in the observation group was shorter than that in the control group (P<0.05). The overall satisfaction score of patients in the observation group was higher than that in the control group (P<0.05). Conclusions: The modified cross-suture technique is a suitable incision treatment method for loop stoma reversal.