Delayed vs Early Enteral Feeding After Anterior Sagittal Anorectopexy

Early Versus Delayed Postoperative Enteral Feeding to Reduce the Incidence of Perineal Wound Infection Following Anterior Sagittal Anorectoplasty of Congenital Recto-vestibular Fistula

Status

UNKNOWN

Phases

Phase 4

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05297916

Enrollment

Registered

2022-03-28

Start date

2022-02-02

Completion date

2022-10-02

Last updated

2022-03-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Onset of Perineal Wound Infection

Keywords

recto-vestibular fistula,, early enteral feeding, peripheral parenteral nutrition, perineal wound infection

Brief summary

to study the effect of early vs delayed enteral feeding following ASARP in females with congenital recto-vestibular fistula

Detailed description

congenital Recto vestibular fistula represents the commonest type of anorectal malformation in females. The treatment of this anomaly is mainly approached either through anterior or posterior sagittal ano-rectoplasty approach. Several perioperative factors may affect the outcome. One of major postoperative complications is the occurrence of wound infection. Purpose: we aimed to study the effect of delayed vs early postoperative enteral feeding on the occurrence of postoperative wound infection and dehiscence. Patients and methods: A prospective randomized trial included 55 infants with recto-vestibular fistula. All infants were managed by single stage anterior sagittal anorectoplasty at an age ≥ 3 months. Patients were divided into two groups. group A included infants who started oral intake on the 5th postoperative day and group B included infants who started oral intake on the 2nd postoperative day. The primary outcome was the onset of perineal wound infection. Group A infants were kept on peripheral parenteral nutrition during fasting period.

Interventions

OTHERenteral feeding

to intake oral feeding or delay it

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

SINGLE (Subject)

Intervention model description

delayed enteral feeding ingroup 1 early enteral feeding in group 2

Eligibility

Healthy volunteers

Inclusion criteria

* All female infants with congenital rectoperineal fistula

Exclusion criteria

* patients with major anomalies, patients who have staged repair

Design outcomes

Primary

Measure	Time frame	Description
perineal wound infection	WITHIN TWO WEEKS POST OPERATIVE	the occurrence of wound infection after ASARP

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026