Primary Anastomosis After Left Colectomy in Emergency Cases

Primary Anastomosis After Left Colectomy in Emergency Cases

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.

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

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