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Despite performing colonic surgery with strict asepsia measures, minimizing the contact of the colon lumen with the peritoneum, some contamination is nearly impossible to avoid. In stapled anastomosis, the hole opened in the colon is minimum, just the necessary for introducing the parts of the mechanical devices. In handsewn anastomosis, the colonic lumen is more exposed to the peritoneum, despite the colonic occlusion with clamps meanwhile the suture is performed.
Hypothesis: After stapled anastomoses, the peritoneal contamination should be lower than after handsewn ones.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Handsewn ileocolonic anastomosis | Experimental | Swabs obtained from patients undergoing handsewn ileocolonic anastomosis |
|
| Stapled ileocolonic anastomosis | Experimental | Swabs obtained for culture in those patients undergoing stapled ileocolonic anastomosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stapled anastomosis | Procedure | Stapled anastomosis after ileocolonic resection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Peritoneal contamination after finishing the ileocolonic anastomosis | Swabs will be obtained from the peritoneal surface for microbiological culture | 1 year |
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Inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jaime Jaime, MD, PhD | Contact | (0034)630534808 | jruiztovar@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Jaime Ruiz-Tovar, MD, PhD | Hospital General de Elche | Principal Investigator |
| Antonio Arroyo, MD, PhD | Hospital General de Elche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital General de Elche | Elche | Alicante | 03202 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22581209 | Derived | Ruiz-Tovar J, Santos J, Arroyo A, Llavero C, Lopez A, Frangi A, Armananzas L, Alcaide MJ, Candela F, Calpena R. Microbiological spectrum of the intraperitoneal surface after elective right-sided colon cancer: are there differences in the peritoneal contamination after performing a stapled or a handsewn anastomosis? Int J Colorectal Dis. 2012 Nov;27(11):1515-9. doi: 10.1007/s00384-012-1492-9. Epub 2012 May 12. |
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| Handsewn anastomosis | Procedure | Handsewn anastomosis after ileocolonic resection |
|
| ID | Term |
|---|---|
| D014946 | Wound Infection |
| D018784 | Abdominal Abscess |
| ID | Term |
|---|---|
| D007239 | Infections |
| D000038 | Abscess |
| D013492 | Suppuration |
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