Impact of different skin suturing methods on patient prognosis after ileostomy closure

Table 1 Comparison of general data among the three groups, n (%)

	Purse-string suture group	Cross-suture group	Vertical interrupted suture group	P value
Cases	10	10	10
Comorbidities				0.672
None	9 (90.00)	7 (70.00)	6 (60.00)
Hypertension	1 (10.00)	2 (20.00)	2 (20.00)
Diabetes	0 (0.00)	1 (10.00)	1 (10.00)
Coronary artery disease	0 (0.00)	0 (0.00)	1 (10.00)
Primary disease				0.986
Colon cancer	3 (30.00)	2 (20.00)	3 (30.00)
Rectal cancer	6 (60.00)	7 (70.00)	6 (60.00)
Intestinal obstruction	1 (10.00)	1 (10.00)	1 (10.00)
Gender				0.171
Male	4 (40.00)	8 (80.00)	8 (80.00)
Female	6 (60.00)	2 (20.00)	2 (20.00)

Table 2 Comparison of general data among the three groups, mean ± SD

	Purse-string suture group	Cross-suture group	Vertical interrupted suture group	P value
Cases	10	10	10
Age, years	58.20 ± 10.19	59.40 ± 8.82	60.00 ± 14.17	0.876
Height, m	1.64 ± 0.08	1.65 ± 0.07	1.64 ± 0.10	0.940
Weight, kg	56.65 ± 6.62	60.10 ± 6.98	60.90 ± 8.33	0.402
BMI, kg/m2	21.01 ± 1.90	21.87 ± 1.56	22.45 ± 2.52	0.298
Preoperative albumin level, g/L	41.23 ± 3.65	41.48 ± 2.93	42.13 ± 3.68	0.834
Time interval before reversal, months	6.40 ± 2.50	5.60 ± 2.27	6.30 ± 1.88	0.687

BMI: Body mass index.

Table 3 Comparison of intraoperative and postoperative recovery indicators among the three groups, M (Q_L-Q_U)

	Purse-string suture group	Cross-suture group	Vertical interrupted suture group	P value
Cases	10	10	10
Surgical time, minutes	53.00 (50.00-56.25)	59.00 (53.75-67.00)	60.00 (55.25-67.00)	0.107
Intraoperative blood loss, mL	21.00 (18.75-35.00)	20.00 (20.00-50.00)	22.50 (20.00-42.50)	0.588
Time to start liquid diet, days	3.00 (3.00-4.25)	3.00 (3.00-3.00)	3.50 (3.00-5.00)	0.061
Time to first bowel movement, days	3.00 (2.75-3.00)	3.00 (3.00-3.00)	3.00 (3.00-3.00)	0.850
Postoperative hospitalization duration, days	8.00 (6.75-10.00)	7.00 (6.25-9.00)	7.00 (6.00-8.50)	0.082
Suture removal time, days	7.00 (6.00-8.00)	7.00 (7.00-7.00)	7.00 (7.00-8.50)	0.004
Wound healing time, days	21.00 (20.00-22.00)	21.00 (19.00-22.00)	24.00 (23.00-27.25)	0.002
Hospitalization costs, CNY	38792.50 (34118.25-43267.25)	37503.00 (33699.25-40873.50)	38645.00 (33237.75-42444.75)	0.756

Table 4 Comparison of postoperative recovery indicators among the three groups, M (Q_L-Q_U)

	Purse-string suture group	Cross-suture group	Vertical interrupted suture group	P value
Cases	10	10	10
Postoperative white blood cell count, 109/L	6.7950 (5.7675-7.6050)	5.9150 (5.0250-7.1750)	6.0050 (4.5525-7.5900)	0.477
Postoperative CRP level, mg/L	30.5000 (25.0000-37.7500)	37.0000 (26.0000-42.0000)	58.0000 (50.0000-70.0000)	0.000
Postoperative hemoglobin level, g/L	109.5000 (89.7500-132.0000)	113.5000 (103.0000-120.7500)	112.0000 (97.2500-120.7500)	0.935
Postoperative albumin level, g/L	37.5000 (34.7500-41.0000)	35.6000 (34.0000-37.0000)	35.5000 (33.7500-37.2500)	0.290

CRP: C-reactive protein.

Table 5 Comparison of postoperative visual analog scale pain scores among the three groups, mean ± SD

	Purse-string suture group	Cross-suture group	Vertical interrupted suture group	P value
Cases	10	10	10
12 hours post-surgery	4.00 ± 0.47	4.10 ± 0.31	5.40 ± 0.69	0.000
1 day post-surgery	3.50 ± 0.52	3.20 ± 0.42	4.80 ± 0.63	0.000
2 days post-surgery	3.30 ± 0.48	2.90 ± 0.31	4.10 ± 0.56	0.000
3 days post-surgery	2.60 ± 0.51	2.40 ± 0.51	3.30 ± 0.48	0.000

Table 6 Comparison of postoperative safety indicators among the three groups, n (%)

	Purse-string suture group	Cross-suture group	Vertical interrupted suture group	P value
Cases	10	10	10
SSI	0	0	4 (40.00)	0.010
Anastomotic leak	0	0	0	-
Intestinal obstruction	0	0	1 (10.00)	0.355
Incisional hernia	0	0	0	-
Pulmonary infection	2 (20.00)	1 (10.00)	2 (20.00)	0.535
Suture site bleeding	2 (20.00)	2 (20.00)	3 (30.00)	0.830
Death	0	0	0	-