Primary Anastomosis After Left Colectomy in Emergency Cases
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 37
- 试验地点
- 1
- 主要终点
- Incidence of Anastomotic Leakage Within 30 Days Post-Operatively
研究概览
简要总结
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.
详细描述
SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents*
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- — 至 80 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Incidence of Anastomotic Leakage Within 30 Days Post-Operatively
时间窗: 30 days after surgery
* 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)
Incidence of Surgical Site Infection
时间窗: 30 days after surgery
* 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
次要结局
- Incidence of Postoperative Ileus(From date of surgery until first bowel movement, assessed up to 7 days post-surgery)
- Time to Restoration of Bowel Movement(Assessed up to 7 days post-surgery)
- Length of Hospital Stay(Assessed up to 14 days post-surgery)
- Readmission Rate Within 30 Days(Time Frame: 30 days post-surgery)