A Randomized Trial of Ostomy Closure Techniques
A Randomized Trial of Ostomy Closure Techniques
Stoma closure has been associated with a high rate of surgical site infection (SSI). The rate
 for SSI following stoma closure has been noted to be 7-41%; a rate that is higher than
 expected for a clean-contaminated operative classification. The ideal stoma site closure
 technique is still debated in the current literature. The aim of this study was to compare
 the rate of SSI following two different stoma closure techniques, primary closure versus a
 skin approximating purse string closure, in a multi-center randomized controlled trial. The
 investigators hypothesize that purse string closure technique will have a lower rate of SSI
 than primary closure technique.
The investigators will randomize ileostomy takedown patients to either a primary closure or
 purse string closure technique intraoperatively. Surgeons at both the University of Minnesota
 and the CHUV hospital in Switzerland will participate in the this study.
Inclusion Criteria:

 Subjects eligible are those with either a colostomy or ileostomy (end or loop) who are
 deemed by their surgeon to be appropriate candidates for ostomy closure. There will be no
 limitations based upon initial indication for formation of the ostomy. Indications for
 initial ostomy formation for fecal diversion can include: infection (e.g. diverticulitis)
 and protection of an anastomosis. (following resection for inflammatory bowel disease,
 benign diseases, or cancer)

 Exclusion Criteria:

 Subjects will be excluded from the study if:

 1. The stoma site is left open to heal by secondary intention due to gross contamination
 (surgeon discretion)

 2. The stoma site is re-used (i.e. the same stoma site used for the formation of a new
 ostomy)

 3. A new stoma is created at a different site.