Intestinal Anastomosis
Conditions
Keywords
stapler, handsewn, anastomotic leakage, intestinal obstruction
Brief summary
The goal of this clinical trial is to compare the outcomes of emergency intestinal anastomosis after stapled and handsewn anastmosis. The main question it aims to answer are: Is stapled intestinal anastmosis is better than handsewn anastmosis in emergency laparotomy? Participants at surgical emergency unit: * Had intestinal anastmosis either by stapler or handsewn. * kept in hospital for follow up and detection of complications like wound infection and leakage. * Either discharged or managed according to the complications * Outcomes were compared between the two groups
Interventions
PROCEDUREemergency intestinal anastmosis surgery
cases with intestinal trauma, perforation or intestinal obstruction had emergency laparotomy and intestinal anastmosis was done
Sponsors
Zagazig University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients admitted to emergency surgery and needed intestinal anastmosis
Exclusion criteria
* patients below 18 years old * immune-compromised patients e.g. corticosteroids therapy, autoimmue disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intestinal leakage | from one day to two weeks after surgery | intestinal leakage output calculated in ml by weighing dressing or calculating the drain output |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operation time | from incision time to closure (0 to 5 hours) | operation time in minutes was calculated |
| bleeding | from one hour to two days after surgery | bleeding amount was calculated in ml |
| hospital stay | from one day to one month after surgery | hospital stay was recorded in days |
| post-operative pain | from one to three days after after surgery | pain was evaluated by the visual analogue scale from 1 to 10. score 1 means least painful, score 10 means very painful |
Countries
Egypt
Outcome results
None listed