Gunsight skin incision and closure technique for stoma reversal. Experience in Centro Médico Nacional “La Raza”, México

Abstract

Background: Stoma reversal has postoperative complications such as surgical site infection associated with patients’ perception of a poor cosmetic outcome.
Objective: The aim of this study is to describe the gunsight skin incision and closure technique for stoma reversal and the postoperative results.
Material and methods: Between November 2020 and May 2021, this technique was performed on 15 patients with colostomy and ileostomy. The intraoperative and postoperative results were analyzed.
Results: Mean age was 38 ± 2.5 years, body mass index was 28±1.5 kg/m2, and length of hospital stay was 4 ± 2 days. The technique provided good tissue exposure and no patients presented surgical site infection. Thirty days after discharge 100% of patients reported high satisfaction with the cosmetic result as evidenced by the 3-point Likert scale.
Conclusion: This procedure offers technical advantages and high patient satisfaction.