Primary Anastomosis After Left Colectomy in Emergency Cases

Ain Shams University

Status: Completed

Conditions: Complete Obstruction

Treatments: Other: colectomy with primary anastomosis

Study type: Interventional

Funder types: Other

Identifiers

NCT07026201

IBR 00006373

Details and patient eligibility

About

The aim of this study is to know the outcome of primary anastomosis after left colectomy in emergency cases regarding early post operative complication like surgical site infection , ileus, incidence of leakage, restoration of bowel movement and hospital stay and rate of readmission within one month from the time of intervention.

Full description

SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents*

Enrollment: 37 patients

Sex: All

Ages: Under 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients presenting to the emergency department with obstructed left colon
• Patients aged between 18 and 80 years old
• Decision of laparotomy is made
• Intraoperative conditions are favorable for anastomosis (e.g., good vascularity, no severe sepsis, no marked tissue edema, no thickened peritoneum)
• Patient agrees to participate in the study

Exclusion criteria

• Severe diffuse peritonitis (e.g., peritoneal thickening, thickened bowel loop, severe tissue edema, and pyogenic membrane)
• Marked decreased tissue vascularity due to distension
• Irresectable mass
• Rectal mass
• Patients refusing to participate in the study

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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37 participants in 1 patient group

patient with obstructing left colon mass

Other group

Description:

formal exploration with resection and primary anastomosis

Treatment:

Other: colectomy with primary anastomosis