Primary Anastomosis After Left Colectomy in Emergency Cases

Ain Shams University37 enrolled

Overview

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.

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Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Complete Obstruction

Interventions

colectomy with primary anastomosisOTHER

left hemicolectomy or sigmoidectomy, formal resection was carried out following conventional steps of radical resection.with primary anastomosis

Eligibility

Sex: ALLMax age: 80 Years

Medical Language ↔ Plain English

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

Locations (1)

Ain Shams University

Cairo, Egypt

Outcomes

Primary Outcomes

Incidence of Anastomotic Leakage Within 30 Days Post-Operatively

* 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)

Time frame: 30 days after surgery

Incidence of Surgical Site Infection

* 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

Time frame: 30 days after surgery

Secondary Outcomes

Incidence of Postoperative Ileus

* 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 frame: From date of surgery until first bowel movement, assessed up to 7 days post-surgery

Time to Restoration of Bowel Movement

* Description: Number of days until first recorded bowel movement after surgery * Unit of Measure: Days * Assessment Method: Patient report and nursing documentation

Time frame: Assessed up to 7 days post-surgery

Length of Hospital Stay

* Description: Total number of days the patient remained in hospital after surgery * Unit of Measure: Days * Assessment Method: Hospital records

Time frame: Assessed up to 14 days post-surgery

Readmission Rate Within 30 Days

* 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

Data from ClinicalTrials.gov

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