Complete Obstruction
Conditions
Keywords
left colon mass
Brief summary
The aim of this study is to know the outcome of primary anastomosis after left colectomy in emergency cases regarding early post operative complication like surgical site infection , ileus, incidence of leakage, restoration of bowel movement and hospital stay and rate of readmission within one month from the time of intervention.
Detailed description
SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents\*
Interventions
OTHERcolectomy with primary anastomosis
left hemicolectomy or sigmoidectomy, formal resection was carried out following conventional steps of radical resection.with primary anastomosis
Sponsors
Ain Shams University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients presenting to the emergency department with obstructed left colon * Patients aged between 18 and 80 years old * Decision of laparotomy is made * Intraoperative conditions are favorable for anastomosis (e.g., good vascularity, no severe sepsis, no marked tissue edema, no thickened peritoneum) * Patient agrees to participate in the study
Exclusion criteria
* Severe diffuse peritonitis (e.g., peritoneal thickening, thickened bowel loop, severe tissue edema, and pyogenic membrane) * Marked decreased tissue vascularity due to distension * Irresectable mass * Rectal mass * Patients refusing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Anastomotic Leakage Within 30 Days Post-Operatively | 30 days after surgery | * Description: Percentage of patients who develop an anastomotic leak as diagnosed clinically or radiologically * Unit of Measure: % of patients * Assessment Method: Clinical signs and imaging (e.g., contrast-enhanced CT scan) |
| Incidence of Surgical Site Infection | 30 days after surgery | * Description: Percentage of patients who develop a surgical site infection within 30 days after the operation * Unit of Measure: % of patients * Assessment Method: Clinical evaluation and/or positive wound culture |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Postoperative Ileus | From date of surgery until first bowel movement, assessed up to 7 days post-surgery | * Description: Percentage of patients who experience postoperative ileus, defined as absence of bowel movement and need for nasogastric tube beyond 3 days post-surgery * Unit of Measure: % of patients * Assessment Method: Clinical observation and medical records |
| Time to Restoration of Bowel Movement | Assessed up to 7 days post-surgery | * Description: Number of days until first recorded bowel movement after surgery * Unit of Measure: Days * Assessment Method: Patient report and nursing documentation |
| Length of Hospital Stay | Assessed up to 14 days post-surgery | * Description: Total number of days the patient remained in hospital after surgery * Unit of Measure: Days * Assessment Method: Hospital records |
| Readmission Rate Within 30 Days | Time Frame: 30 days post-surgery | * Description: Percentage of patients readmitted to any hospital within 30 days after initial discharge * Unit of Measure: % of patients * Assessment Method: Patient follow-up and hospital readmission records |
Countries
Egypt
Outcome results
None listed