One-stitch method for ileostomy is associated with reduced peristomal adhesion: a meta-analysis

The suturing technique used for ileostomy creation may influence the severity of peristomal adhesion; however, no meta-analysis on this topic has been reported to date. The aim of this study was to evaluate whether the one-stitch method (OM) for ileostomy construction can reduce the degree of peristomal adhesion. A systematic search was conducted in major databases, including PubMed, Cochrane Library, Web of Science, and Embase, covering the period from database inception to January 1, 2026. Studies comparing the one-stitch ileostomy technique with traditional method (TM) for ileostomy were included. The included studies were primarily observational studies, along with a randomized controlled trial (RCT). Meta-analysis was performed using RevMan 5.3 software. A total of 6 studies involving 1167 patients were included. The meta-analysis showed that, compared with TM for ileostomy, the OM significantly reduced moderate (OR = 0.58, 95% CI 0.38–0.88, P < 0.05, I 2 = 0%) and severe (OR = 0.38, 95% CI 0.21–0.67, P < 0.05, I 2 = 0%) peristomal adhesion. In addition, the OM technique suggested a possible association with shorter total operative time and shorter stoma reversal time. The overall incidence of stoma-related complications was lower in the OM group than in the TM group (OR = 0.58, 95% CI 0.42–0.80, P < 0.05, I 2 = 48%). However, no statistically significant differences were observed between the two groups in terms of specific types of stoma-related complications, including stoma retraction, stoma-related dermatitis, mucocutaneous separation, stoma prolapse, parastomal hernia, stoma bleeding, stoma necrosis, and stoma stenosis. The OM appears feasible for ileostomy construction, with the potential to alleviate peristomal adhesion and facilitate stoma reversal; however, the evidence remains preliminary.