Para Versus Trans Rectus Stoma Placement for Prevention of Stoma Related Complications

Para Rectus Versus Trans Rectus Stoma Placement for Prevention of Stoma Related Complications

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06517407

Enrollment

Registered

2024-07-24

Start date

2023-12-01

Completion date

2026-12-31

Last updated

2024-07-24

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

Conditions

Stoma Malfunction

Brief summary

Fecal divertion is a surgical procedure by which stoma is constructed through exteriorization of small intestine or large intestine(loop or end stoma).There are many indications for enterostomies such as malignancy, bleeding per rectum, MVO, Volvulus, iatrogenic colon injury, adhesive bands....... etc. Many factors concerning the operative technique are considered to influence the incidence of stoma related complications such as stoma prolapse, retraction, stenosis, para stomal herniation, para stomal soiling ,oedema and ileus. Site of stoma creation in relation to rectus abdominis muscle is believed to be one of them.

Detailed description

Fecal divertion is a surgical procedure by which stoma is constructed through exteriorization of small intestine or large intestine(loop or end stoma).There are many indications for enterostomies such as malignancy, bleeding per rectum, MVO, Volvulus, iatrogenic colon injury, adhesive bands. Many factors concerning the operative technique are considered to influence the incidence of stoma related complications such as stoma prolapse, retraction, stenosis, para stomal herniation, para stomal soiling ,oedema and ileus. Site of stoma creation in relation to rectus abdominis muscle is believed to be one of them.

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* All patient who recieve abdominal enterostomies either elective or emergencies in surgery department of assuit university hospital

Exclusion criteria

1. Patient underwent repair of previous abdominal surgery 2. Patient known to have incisional or ventral abdominal hernia

Design outcomes

Primary

Measure	Time frame	Description
para stomal herniation	6 months	* Stoma site was incised about 3-5cm from lateral edge of rectus abdominis muscle at para rectus position, or * at he lateral edge of the rectus abdominis muscle in trans rectal position.

Secondary

Measure	Time frame	Description
a_wound infection b_post operative ilieus c_oedema of the stoma d_soiling around the stoma e:prolapse f: stenosis g:retraction	6 months	Stoma related other complication

Countries

Egypt

Contacts

Primary ContactAmira Sayed Mohammed Sayed, Resident

asmsda1996@gmail.Com01061434567

Backup ContactGamal Abd el hamid Ahmed, Professor

eed@aun.edu.eg01006369722

Outcome results