Colorectal Resection in Emergency General Surgery - To Anastomose, or Not to Anastomose
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colorectal Resection
- Sponsor
- Methodist Health System
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Perioperative mortality and need for unplanned procedural intervention
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Primary anastomosis is associated with higher rates of perioperative morbidity/mortality and that fecal diversion improves overall mortality, decreases length of stay, and lowers rates of surgical complications requiring unplanned operative intervention.
Detailed Description
This is a prospective observational study. All patients undergoing colon resection in the urgent/emergent setting meeting our inclusion/exclusion criteria will be enrolled in the study. Data will be collected prospectively and the decision to perform proximal diversion or anastomosis is solely the responsibility of the managing acute care surgeon. No guidelines or protocols will be suggested so as to avoid any influence on practitioner decision-making. The plan is to complete the data collection and analysis by 03/01/2020
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing urgent/emergent colon resection (less than 24 hours after decision to operate) by an acute care surgeon
Exclusion Criteria
- •Elective operations performed by acute care surgeons within 24-hours of the decision to operate (e.g., scheduled resection of non-obstructed, non-perforated malignancy)
- •Prisoners
- •Pregnancy
- •Wards of the state
- •Patients less than 18-years of age
- •Traumatic mechanisms of injury
- •Death within 24-hours of index operation
Outcomes
Primary Outcomes
Perioperative mortality and need for unplanned procedural intervention
Time Frame: 1 days to 12 months
Perioperative mortality and need for unplanned procedural intervention (intervention by a surgeon, radiologist, or interventional radiologist).