Modified ileostomy closure techniques beat conventional methods in network meta-analysis

Sixteen studies (1,402 patients) suggest modified ileostomy techniques improve efficiency, recovery, and complication control compared with conventional methods.

• Continuous intradermal suture shortened total ileostomy duration and reduced stoma retraction.
• Modified 2-stitch closure was linked to fewer overall complications.
• Multistitch techniques were better at preventing stoma prolapse and stenosis.

Continuous intradermal suture is a practical option for shorter operations. The evidence is mostly retrospective and the comparisons form no closed loops, so the ranking may be overstated; use these techniques as a reasonable choice, not as proven superior.