Para Versus Trans Rectus Stoma Placement for Prevention of Stoma Related Complications

Recruiting

• Conditions: Stoma Malfunction

• Registration Number: NCT06517407
• Lead Sponsor: Assiut University

Brief Summary

Fecal divertion is a surgical procedure by which stoma is constructed through exteriorization of small intestine or large intestine(loop or end stoma).There are many indications for enterostomies such as malignancy, bleeding per rectum, MVO, Volvulus, iatrogenic colon injury, adhesive bands....... etc.

Many factors concerning the operative technique are considered to influence the incidence of stoma related complications such as stoma prolapse, retraction, stenosis, para stomal herniation, para stomal soiling ,oedema and ileus. Site of stoma creation in relation to rectus abdominis muscle is believed to be one of them.

Detailed Description

Fecal divertion is a surgical procedure by which stoma is constructed through exteriorization of small intestine or large intestine(loop or end stoma).There are many indications for enterostomies such as malignancy, bleeding per rectum, MVO, Volvulus, iatrogenic colon injury, adhesive bands.

Many factors concerning the operative technique are considered to influence the incidence of stoma related complications such as stoma prolapse, retraction, stenosis, para stomal herniation, para stomal soiling ,oedema and ileus. Site of stoma creation in relation to rectus abdominis muscle is believed to be one of them.

Study Timeline

• Study Start: 2023-12-01
• Status Verified: 2024-07
• Study First Submitted: 2024-07-08
• Study First Submitted QC: 2024-07-23
• Last Update Submitted: 2024-07-23
• Study First Posted: 2024-07-24
• Last Update Posted: 2024-07-24
• Primary Completion: 2026-10
• Study Completion: 2026-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• All patient who recieve abdominal enterostomies either elective or emergencies in surgery department of assuit university hospital

Exclusion Criteria

1. Patient underwent repair of previous abdominal surgery
2. Patient known to have incisional or ventral abdominal hernia

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
para stomal herniation	6 months	* Stoma site was incised about 3-5cm from lateral edge of rectus abdominis muscle at para rectus position, or; * at he lateral edge of the rectus abdominis muscle in trans rectal position.

Secondary Outcome Measures

Name	Time	Method
a_wound infection b_post operative ilieus c_oedema of the stoma d_soiling around the stoma e:prolapse f: stenosis g:retraction	6 months	Stoma related other complication

Trial Locations

Locations (1)

Assiut university Hospital; 🇪🇬 Assiut, Egypt