Effect of omental patch on anastomotic leakage after intestinal surgery.
Conditions
Interventions
Intervention 1: Omentoplasty: The omentum with vascular pedicle wrapped around the anastomotic suture line and tacked to the intestinal segments proximally and distally by individual sutures. Interven
Treatment - Other
Treatment - Surgery
Omentoplasty: The omentum with vascular pedicle wrapped around the anastomotic suture line and tacked to the intestinal segments proximally and distally by individual sutures.
Non-omentoplasty: Omentoplasty was not done in this group.
Sponsors
Vice Chancellor For Research, Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion Criteria: Surgical Indication For Segmental Resection Of Small Intestine And Colon or Colectomy And Performance Of Primary Anastomosis After Resection Exclusion Criteria: Positive Medical History Of Chemotherapy Or Radiotherapy; Anemia; Hypoproteinemia; Previous Colorectal Surgery; Malnutrition; Anastamosis In Other Parts Of Gastrointestinal System
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of anastomotic leakage. Timepoint: Clinical evaluation every 12 hours post surgery and radiological evaluation if fever of unknown origin was detected. Method of measurement: Clinical evaluation and radiological assessment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to pass gas. Timepoint: Every 12 hours post surgery. Method of measurement: Questionnaire.;Wound infection. Timepoint: Every 12 hours post surgery. Method of measurement: Physical exam.;Time of bowel sound return. Timepoint: Every day after surgery. Method of measurement: Auscultation.;Time from surgery to hospital discharge. Timepoint: Time of discharge. Method of measurement: Medical record.;Drainage volume of nasogastric tube. Timepoint: Every 12 hours post surgery. Method of measurement: Drain.;Time to a liquid diet. Timepoint: Every 12 hours post surgery. Method of measurement: Medical record.;Peritonitis. Timepoint: Every 8 hours post surgery. Method of measurement: Physical exam and radiological assessment.;Postoperative abscess formation. Timepoint: Radiological assessment if there was an indication. Method of measurement: Computerized tomography scan.;Postoperative fistula formation. Timepoint: Radiological assessment if there was an indication. Method of measurement: Computerized tomography scan.;Time to defecation. Timepoint: Every day after surgery. Method of measurement: Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactShirzad Nasiri
Tehran University of Medical Sceinces
Outcome results
None listed