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The goal of this clinical trial is to compare the outcomes of emergency intestinal anastomosis after stapled and handsewn anastmosis. The main question it aims to answer are:
Is stapled intestinal anastmosis is better than handsewn anastmosis in emergency laparotomy?
Participants at surgical emergency unit:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| stapled group | Active Comparator |
| |
| handsewn group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| emergency intestinal anastmosis surgery | Procedure | cases with intestinal trauma, perforation or intestinal obstruction had emergency laparotomy and intestinal anastmosis was done |
| Measure | Description | Time Frame |
|---|---|---|
| intestinal leakage | intestinal leakage output calculated in ml by weighing dressing or calculating the drain output | from one day to two weeks after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| operation time | operation time in minutes was calculated | from incision time to closure (0 to 5 hours) |
| bleeding | bleeding amount was calculated in ml |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of medicine, Zagazig University | Zagazig | Sharqia Province | 44519 | Egypt |
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| ID | Term |
|---|---|
| D057868 | Anastomotic Leak |
| D007415 | Intestinal Obstruction |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007410 | Intestinal Diseases |
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| from one hour to two days after surgery |
| hospital stay | hospital stay was recorded in days | from one day to one month after surgery |
| post-operative pain | pain was evaluated by the visual analogue scale from 1 to 10. score 1 means least painful, score 10 means very painful | from one to three days after after surgery |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |