Linear Versus Purse String Skin Closure at Loop Ileostomy Reversal.

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.

NCT Number	NCT07573423
Lead Sponsor	Hayat Abad Medical Complex, Peshawar
Conditions	Surgical Site Infection (SSI), Ileostomy Closure, Surgical Technique Comparison
Enrollment	252 participants
Start Date	2020-06-22
Primary Completion	2025-07-01 (estimated)
Study Completion	2025-07-31 (estimated)
Updated on ClinicalTrials.gov	2026-05-12