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Purse String Versus Conventional Wound Closure Techniques in Children Undergoing Stoma Reversal
Sponsor: Assiut University
Summary
This randomized controlled trial compares purse-string versus conventional linear skin closure techniques in children undergoing stoma reversal surgery. The primary aim is to assess surgical site infection rates within 30 days and scar cosmesis at 3 months using the Manchester Scar Scale. Fifty patients (25 per group) will be randomized at Assiut University Pediatric Surgery Department to determine if purse-string closure reduces infections and improves scarring.
Official title: The Outcomes of Purse String Versus Conventional Wound Closure Techniques in Children Undergoing Stoma Reversal : Ramdomized Controlled Trial(RCT).
Key Details
Gender
All
Age Range
0 Months - 18 Years
Study Type
INTERVENTIONAL
Enrollment
50
Start Date
2026-01
Completion Date
2027-02
Last Updated
2026-01-13
Healthy Volunteers
No
Conditions
Interventions
Purse-string skin closure
During stoma reversal, internal layers closed standardly; subcutaneous tissue closed with continuous Vicryl purse-string suture, skin with Prolene purse-string suture. Distinguishes from linear closure by circular tightening technique to reduce SSI risk and improve cosmesis in pediatric patients.
Conventional linear skin closure
During stoma reversal, skin wound closed with simple interrupted 3-0 Prolene sutures after standard internal and subcutaneous closure. Serves as active comparator to purse-string method; standard technique associated with higher SSI rates.