Colorectal Resection
Conditions
Brief summary
Primary anastomosis is associated with higher rates of perioperative morbidity/mortality and that fecal diversion improves overall mortality, decreases length of stay, and lowers rates of surgical complications requiring unplanned operative intervention.
Detailed description
This is a prospective observational study. All patients undergoing colon resection in the urgent/emergent setting meeting our inclusion/exclusion criteria will be enrolled in the study. Data will be collected prospectively and the decision to perform proximal diversion or anastomosis is solely the responsibility of the managing acute care surgeon. No guidelines or protocols will be suggested so as to avoid any influence on practitioner decision-making. The plan is to complete the data collection and analysis by 03/01/2020
Interventions
None listed
Sponsors
Methodist Health System
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients undergoing urgent/emergent colon resection (less than 24 hours after decision to operate) by an acute care surgeon
Exclusion criteria
* Elective operations performed by acute care surgeons within 24-hours of the decision to operate (e.g., scheduled resection of non-obstructed, non-perforated malignancy) * Prisoners * Pregnancy * Wards of the state * Patients less than 18-years of age * Traumatic mechanisms of injury * Death within 24-hours of index operation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative mortality and need for unplanned procedural intervention | 1 days to 12 months | Perioperative mortality and need for unplanned procedural intervention (intervention by a surgeon, radiologist, or interventional radiologist). |
Countries
United States
Outcome results
None listed