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  • Title: Stoma closure and wound infection: an evaluation of risk factors.
    Author: Hackam DJ, Rotstein OD.
    Journal: Can J Surg; 1995 Apr; 38(2):144-8. PubMed ID: 7728668.
    Abstract:
    OBJECTIVE: To assess the infection rate in the nonstoma wound in patients who undergo stoma closure. DESIGN: Chart review. SETTING: A tertiary-care hospital. PATIENTS: Ninety-five patients who underwent elective closure of an abdominal wall stoma requiring a separate abdominal incision. INTERVENTIONS: Elective general surgery procedures. MAIN OUTCOME MEASURE: Wound infection rate. RESULTS: The overall wound infection rate was 29%. Primary wound closure was associated with a markedly increased wound infection rate (41%) compared with delayed primary or secondary wound closure (15%). No other preoperative factor specifically predicted a high rate of postoperative nonstoma wound infection. CONCLUSIONS: The nonstoma wound during elective closure of an abdominal stoma is at high risk for infection postoperatively. Delayed primary or secondary closure may lessen this risk.
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