Stoma closure and wound infection: An evaluation of risk factors

D. J. Hackam, O. D. Rotstein

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Objective: To assess the infection rate in the nonstoma wound in patients who undergo stoma closure. Design: Chart review. Setting: A tertiary-care hospital. Patients: Ninety-five patients who underwent elective closure of an abdominal wall stoma requiring a separate abdominal incision. Interventions: Elective general surgery procedures. Main Outcome Measure: Wound infection rate. Results: The overall wound infection rate was 29%. Primary wound closure was associated with a markedly increased wound infection rate (41%) compared with delayed primary or secondary wound closure (15%). No other preoperative factor specifically predicted a high rate of postoperative nonstoma wound infection. Conclusions: The nonstoma wound during elective closure of an abdominal stoma is at high risk for infection postoperatively. Delayed primary or secondary closure may lessen this risk.

Original languageEnglish (US)
Pages (from-to)144-148
Number of pages5
JournalCanadian Journal of Surgery
Issue number2
StatePublished - Jan 1 1995
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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