Patients undergoing sigmoid resection or left hemicolectomy Surgery Hemicolectomy
Conditions
Interventions
Experimental intervention:
1. Rectal washout with 5% povidon iodine using an applicator
2. Rectal washout with sodium chloride (NaCl) using an applicator
Control intervention:
Rectal washout with NaC
Sponsors
University of Heidelberg (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Given indication for sigmoid resection or left hemicolectomy with primary anastomosis in the proximal rectum 2. Age > 18 years 3. Written informed consent
Exclusion criteria
Exclusion criteria: 1. American Society of Anesthesiology patient (ASA) classification IV and V 2. Emergency operation (obstruction, bleeding, peritonitis) 3. Hand-sutured anastomosis 4. Ileus, colitis, pelvic infection 5. Reoperation 6. Anastomosis < 6cm from the anus 7. Ongoing antibiotic therapy 8. Iodine allergy 9. Hyperthyreosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bacterial contamination at the circular stapler?s center rod following experimental intervention (rectal washout with 5% povidone iodine using an applicator) and control intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Bacterial contamination at the circular stapler?s center rod following experimental intervention (rectal washout with NaCl using an applicator) 2. Bacterial count and routine cultures at rectal mucosa, center rod, small pelvis 3. Exploratory analyses | — |
Countries
Germany
Outcome results
None listed