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Revista argentina de cirugía

Print version ISSN 2250-639XOn-line version ISSN 2250-639X

Abstract

CORDOVA VELAZQUEZ, Carlos A.; GONZALEZ MENDEZ, Omar; RODRIGUEZ ESPINO, Enrique J.  and  MARTIN BUFAJER, Juan M.. Gunsight skin incision and closure technique for stoma reversal. Experience in Centro Médico Nacional “La Raza”, México. Rev. argent. cir. [online]. 2023, vol.115, n.2, pp.147-154. ISSN 2250-639X.  http://dx.doi.org/10.25132/raac.v115.n2.1644.

Background:

Stoma reversal has postoperative complications such as surgical site infection associated with patients’ perception of a poor cosmetic outcome.

Objective:

The aim of this study is to describe the gunsight skin incision and closure technique for stoma reversal and the postoperative results.

Material and methods:

Between November 2020 and May 2021, this technique was performed on 15 patients with colostomy and ileostomy. The intraoperative and postoperative results were analyzed.

Results:

Mean age was 38 ± 2.5 years, body mass index was 28±1.5 kg/m2, and length of hospital stay was 4 ± 2 days. The technique provided good tissue exposure and no patients presented surgical site infection. Thirty days after discharge 100% of patients reported high satisfaction with the cosmetic result as evidenced by the 3-point Likert scale.

Conclusion:

This procedure offers technical advantages and high patient satisfaction.

Keywords : Stoma; Colostomy; Ileostomy.

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