Purse-string Skin Closure for Stoma Reversal in a Pediatric Patient: A Case Report

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In adult patients, the effectiveness of purse-string skin closure (PSC) following stoma reversal in terms of infection control and cosmetic outcome has been reported. However, few pediatric cases had been reported. We report a nine-month-old boy who underwent PSC following stoma reversal. The patient previously underwent colostomy at one-day-old and posterior sagittal anorectoplasty at age six months for anal agenesis without fistula. On stoma reversal, the circumferential skin incision was made around the stoma and the stoma was taken down, reconstructed and returned to the peritoneal cavity. The peritoneum and muscles were closed in the ordinary fashion. Purse-string subcuticular suture by 3-0 Nylon was perfromed, leaving a 5 mm defect at the center of the wound. The wound was well healed, leaving about half the length of the stoma diameter without infection. PSC following stoma reversal in pediatric patients is a useful technique with an appealing cosmetic outcome.
特定非営利活動法人日本小児外科学会の論文