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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
90
cases with intestinal trauma, perforation or intestinal obstruction had emergency laparotomy and intestinal anastmosis was done
faculty of medicine, Zagazig University
Zagazig, Sharqia Province, Egypt
intestinal leakage
intestinal leakage output calculated in ml by weighing dressing or calculating the drain output
Time frame: from one day to two weeks after surgery
operation time
operation time in minutes was calculated
Time frame: from incision time to closure (0 to 5 hours)
bleeding
bleeding amount was calculated in ml
Time frame: from one hour to two days after surgery
hospital stay
hospital stay was recorded in days
Time frame: from one day to one month after surgery
post-operative pain
pain was evaluated by the visual analogue scale from 1 to 10. score 1 means least painful, score 10 means very painful
Time frame: from one to three days after after surgery
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