Patients undergoing small bowel stoma reversal (ileostomy closure) requiring intestinal anastomosis Ileostomy Intestinal Anastomosis Surgical Sutures Polydioxanone Small Intestine Surgery
Conditions
Interventions
Patients randomized to Arm 1 underwent small bowel stoma reversal using single-layer interrupted extra-mucosal intestinal anastomosis with monofilament absorbable polydioxanone (PDS) 3-0 suture. Stand
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Monofilament Absorbable Polydioxanone (PDS) Suture,Braided Silk Suture
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged more than 18 years. 2. Patients undergoing small bowel stoma closure (loop or double-barrel stoma). 3. Patients willing to participate and providing written informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients undergoing colostomy closure. 2. Patients in whom the distal loop was colon. 3. Patients undergoing stoma closure following malignancy. 4. Patients unwilling to participate or not providing informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anastomosis Time During surgery (intraoperative) Time required to complete intestinal anastomosis measured in minutes using intraoperative timing | — |
Secondary
| Measure | Time frame |
|---|---|
| Subclinical Intestinal Obstruction Postoperative period until hospital discharge Clinical assessment for abdominal distension, bowel function, and conservative management requirement,Anastomotic Leak Postoperative period until hospital discharge Clinical assessment based on abdominal signs, wound discharge, drain output, and need for intervention,Wound Infection Postoperative period until hospital discharge Clinical examination for surgical site infection including wound discharge, erythema, or wound gaping,Enterocutaneous Fistula Postoperative period until hospital discharge Clinical detection of enteric discharge through wound or fistulous tract,Reoperation Postoperative period until hospital discharge Requirement for repeat surgical intervention related to postoperative complications,Day of Oral Allowance Postoperative period until hospital discharge Number of postoperative days to initiation of oral intake following return of bowel function,Hospital Stay At hospital discharge Duration of hospitalization measured in days from surgery to discharge | — |
Countries
India
Contacts
Public ContactNitin Agarwal
Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital
Outcome results
None listed