Early Versus Late Stoma Closure After Traumatic Colorectal Injuries

Assiut University

Status: Not yet enrolling

Conditions: Stoma Colostomy

Treatments: Procedure: stoma closure

Study type: Interventional

Funder types: Other

Identifiers

NCT05792579

Early and late stoma closure

Details and patient eligibility

About

The aim is to study feasibility,advantages and disadvantages of early closure of stoma versus late closure of stoma

Full description

Most traumatic colon injuries can be repaired primarily, but a stoma may still be required for severe colonic or rectal injury. The current trend is to reverse the stoma early, rather than to wait the traditional 3 months before closure)1-3) Trauma patients, however, are usually young and otherwise healthy individuals, with an excellent potential for optimal healing once they have overcome the initial insult. It is these patients who could benefit from early closure of the stoma(4-6). Once the temporary stoma has been constructed, various reasons have been cited for the development of colon-related complications after closure. The timing of the operation, the age of the patient, the type of colostomy, and the use of primary or delayed skin closure have all been implicated(7-8). Of all these, the timing of the operation is the most controversial. The early closure of a temporary stoma has many attractions. It can reduce hospitalization time and cost, eliminates the need for stoma care by the patient, and abolishes the psychologic, social, and financial burdens of a stoma in an otherwise healthy person(9-11)

Enrollment: 40 estimated patients

Sex: All

Ages: 10 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age between (10-50)

Exclusion criteria

• pathological causes
• deep, open perineal tear
• Severe co-morbid conditions (uncontrolled diabetes, Hypertension)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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40 participants in 2 patient groups

early closure of stoma

Active Comparator group

Description:

Detection complications of early closure of stoma in pateints with colorectal injures

Treatment:

Procedure: stoma closure

late closure of stoma

Active Comparator group

Description:

Detection complications of late closure of stoma.

Treatment:

Procedure: stoma closure