Early Versus Late Stoma Closure After Traumatic Colorectal Injuries

Not Applicable

Not yet recruiting

• Conditions: Stoma Colostomy
• Interventions: Procedure: stoma closure

• Registration Number: NCT05792579
• Lead Sponsor: Assiut University

Brief Summary

The aim is to study feasibility,advantages and disadvantages of early closure of stoma versus late closure of stoma

Detailed Description

Most traumatic colon injuries can be repaired primarily, but a stoma may still be required for severe colonic or rectal injury. The current trend is to reverse the stoma early, rather than to wait the traditional 3 months before closure)1-3) Trauma patients, however, are usually young and otherwise healthy individuals, with an excellent potential for optimal healing once they have overcome the initial insult. It is these patients who could benefit from early closure of the stoma(4-6). Once the temporary stoma has been constructed, various reasons have been cited for the development of colon-related complications after closure. The timing of the operation, the age of the patient, the type of colostomy, and the use of primary or delayed skin closure have all been implicated(7-8). Of all these, the timing of the operation is the most controversial. The early closure of a temporary stoma has many attractions. It can reduce hospitalization time and cost, eliminates the need for stoma care by the patient, and abolishes the psychologic, social, and financial burdens of a stoma in an otherwise healthy person(9-11)

Study Timeline

• Status Verified: 2023-03
• Study First Submitted: 2023-03-19
• Study First Submitted QC: 2023-03-19
• Last Update Submitted: 2023-03-19
• Study First Posted: 2023-03-31
• Last Update Posted: 2023-03-31
• Study Start: 2023-04-01
• Primary Completion: 2025-02-20
• Study Completion: 2025-03-20

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• age between (10-50)

Exclusion Criteria

• pathological causes
• deep, open perineal tear
• Severe co-morbid conditions (uncontrolled diabetes, Hypertension)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
early closure of stoma	stoma closure	Detection complications of early closure of stoma in pateints with colorectal injures
late closure of stoma	stoma closure	Detection complications of late closure of stoma.

Primary Outcome Measures

Name	Time	Method
Early versus late stoma closure after traumatic colorectal injuries	Baseline	Detection complications of early closuare of stoma