Primary Anastomosis After Left Colectomy in Emergency Cases

NCT ID: NCT07026201

Last Updated: 2025-06-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 37 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-20
• Study Completion Date: 2025-03-20

Brief Summary

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.

Detailed Description

SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents*

Conditions

Complete Obstruction

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

patient with obstructing left colon mass

formal exploration with resection and primary anastomosis

Group Type: OTHER

colectomy with primary anastomosis

Intervention Type: OTHER

left hemicolectomy or sigmoidectomy, formal resection was carried out following conventional steps of radical resection.with primary anastomosis

Interventions

colectomy with primary anastomosis

left hemicolectomy or sigmoidectomy, formal resection was carried out following conventional steps of radical resection.with primary anastomosis

Intervention Type: OTHER

Other Intervention Names

surgical management

Eligibility Criteria

Inclusion Criteria

• 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

Exclusion Criteria

• 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

• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ain Shams University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ibrahim Magid, prof

Role: PRINCIPAL_INVESTIGATOR

Ain Shams University

Locations

Ain Shams University

Cairo, , Egypt

Countries

Egypt

Provided Documents

Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

IBR 00006373

Identifier Type: -

Identifier Source: org_study_id