Permanent stoma for low rectal cancer
Conditions
Interventions
Intervention group:circular successive suture
Conventional treatment group:Intermittent sutures
Sponsors
Second Affiliated Hospital of Army Medical University, PLA
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) Study subjects: people of all ages; (2) Patients planning to undergo elective radical rectal resection (Miles surgery or Hartmann surgery) and permanent single-lumen colostomy; (3) The stoma is located in the patient's left lower abdomen; (4) Able to eat normally, defecate through the stoma, and have no other stomas in the body; (5) During the postoperative follow-up, the patient can walk normally and take care of themselves; (5) Willing to participate in this study and sign an informed consent.
Exclusion criteria
Exclusion criteria: (1) Patients with late stage complications of tumors, such as cancerous ascites, tumor metastasis in abdominal organs, or inability to remove implants; (2) Patients who have experienced tumor recurrence or metastasis during postoperative tumor treatment due to tumor stoma surgery; (3) Concomitant with serious diseases that cause transient increase in abdominal pressure, such as severe bronchitis, asthma, and other lung diseases that lead to severe coughing; (4) Patients with severe complications of stoma that require re ostomy; (5) Patients who are unable to get out of bed and move normally due to underlying diseases after surgery; (6) Patients who undergo enterostomy due to force majeure factors still need to engage in work that seriously increases abdominal pressure, such as long-term heavy physical activity, long-term standing or walking, special industries, etc; (7) Those who undergo abdominal surgery due to other abdominal diseases after enterostomy; (8) Patients who cannot cooperate with the study for any reason or are deemed unsuitable by the researchers for inclusion in this trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| stoma time;parastomal hernias;Stoma prolapse;Stoma infection;Stoma retraction;Stoma necrosis;Stoma stenosis;ECOG score;preoperative clinical staging; | — |
Countries
China
Contacts
Public ContactQiu Yuan
Second Affiliated Hospital of Army Medical University, PLA
Outcome results
None listed