None listed
Conditions
Interventions
Intervention1: Transverse Incision: for hemi and segmental colectomies
Control Intervention1: vertical midline incision: for hemi and segmental colectomies
Sponsors
Dr. Titus D.k
Surgery unit V
Christian Medical College
Vellore- 632004
Eligibility
Inclusion criteria
Inclusion criteria: • ELECTIVE OPERATIONS FOR BENIGN AND MALIGNANT COLONIC DISEASE • NO EVIDENCE OF INTRA ABDOMINAL METASTASIS PREOPERATIVELY • ASA GRADE 1-3
Exclusion criteria
Exclusion criteria: EMERGENCY OPERATIONS -PALLIATIVE OPERATIONS -ASA GRADE > III -METASTATIC DISEASE -MULTIPLE LIVER METASTASIS -GROSS ASCITES -SEROSAL AND PERITONEAL DEPOSITS - PATIENTS WHO ALSO HAVE A STOMA CREATED
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| DURATION OF HOSPITAL STAY Timepoint: THIS WILL BE CALCULATED FROM THE DAY OF OPERATION TO WHEN THE PATIENT IS FIT ENOUGH TO BE DISCHARGED. FITNESS WILL BE DECIDED BY THE SURGICAL TEAM USING THESE CRITERIA: • AFEBRILE FOR 24 HRS • TAKING NORMAL DIET • PASSED STOOLS AND FLATUS POST OPERATIVELY • NO INTRA VENOUS FLUIDS | — |
Secondary
| Measure | Time frame |
|---|---|
| BOWEL MOTILITY RECOVERYTimepoint: THIS IS ASSESSED BY TIME TAKEN TO PASS FLATUS AND FAECES POST OPERATIVELY, CALCULATED IN HOURS FROM THE END OF OPERATION.;DURATION OF SURGERY IN MINUTES Timepoint: CALCULATED FROM SKIN INCISION TO CLOSING OF SKIN WRITTEN BY THE OPERATING SURGEON AT THE END OF SURGERY ;LENGTH OF INCISIONTimepoint: MEASURED IN CENTIMETRES AT THE END OF SURGERY;PATHOLGY SPECIMEN OUTCOMETimepoint: ASSESSED FOR NODAL STATUS, MARGIN STATUS AND TNM STAGING;Post operative painTimepoint: THIS IS ASSESSED BY DOCUMENTING PAIN SCORE USING VISUAL ANALOG SCALE TWICE DAILY DURING HOSPITAL STAY. WE ALSO CALCULATE THE DOSE OF EPIDURAL REQUIRED FOR ANALGESIA AND WHETHER BREAKTHROUGH ANALGESIA WAS REQUIRED OR NOT AND IF REQUIRED, HOW MANY DOSES.;PULMONARY FUNCTION RECOVERYTimepoint: PULMONARY FUNCTION STATUS IS ASSESSED BY SPIROMETRY. ONE BASELINE SPIROMETRY WILL BE DONE PREOPERATIVELY IN THE PULMONARY FUNCTION LAB. POST OPERATIVELY THIS WILL BE REPEATED TWICE, ONE AT 24 HOURS AND ONE AT 72 HOURS. VITAL CAPACITY, FVC, FEV1 AND FEV1 AND FVC RATIO IS MEASURED FOR BOTH GROUPS PULMONARY INFECTION WILL BE DIAGNOSED BY USING MODIFIED CDC CRITERIA FOR NOSOCOMIAL PNEUMONIA (SEE APPENDIX1) TOTAL WBC COUNT WILL BE CHECKED AT 72 HOURS. PATIENT WILL BE ASSESSED FOR PURULENT TRACHEAL SECRETION AND RAISE IN TEMPERATURE. IF 2 OUT OF 3 OF THESE CRITERIA IS PRESENT, PARTICIPANT WILL BE SUBJECTED TO A CHEST X RAY AND IF INFILTRATE IS PRESENT, X RAY WILL BE REPEATED AFTER 48 HOURS. IF THE CRITERIA ARE FULFILLED, THE PARTICIPANT WILL BE DIAGNOSED TO HAVE PULMONARY INFECTION.;RATE OF READMISSION AND REEXPLORATIONTimepoint: COMPARED BETWEEN 2 GROUPS BASED ON CAUSE;WOUND INFECTIONTimepoint: THIS IS DIAGNOSED USING CDC CRITERIA FOR SURGICAL SITE INFECTION CRITERIA WOUND INFECTION WILL BE DIAGNOSED BASED ON THESE CRITERIA BY THE SURGICAL TEAM. | — |
Countries
India
Contacts
Public ContactTitus D.K
Outcome results
None listed