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RecruitingNot ApplicableNCT06546176

End to End Anastomosis With Omega Suture Versus End to Anterior Rectal Wall In Colorectal Anastomosis in Sigmoid and Upper Rectal Cancer

Comparative Study Between End to End Anastomosis With Omega Suture Versus End to Anterior Rectal Wall In Colorectal Anastomosis in Sigmoid and Upper Rectal Cancer

Sponsor

Ain Shams University

Enrollment

40 participants

Start Date

Sep 1, 2023

Study Type

INTERVENTIONAL

Conditions

Sigmoid CancerColorectal AnastomosisEnd to End AnastomosisEnd to Anterior Rectal WallUpper Rectal Cancer

Summary

The aim of this study is to compare end to end anastomosis with omega suture versus end to anterior rectal wall in colorectal anastomosis as regard post operative anastomotic leakage, bowel function, operative time and intra operative blood loss.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is comparing two surgical techniques for reconnecting the bowel after removing sigmoid colon or upper rectal cancer, to see which method reduces the risk of leakage or complications at the reconnection site. **You may be eligible if...** - You are over 18 years old (male or female) - You have been diagnosed with sigmoid colon cancer or upper rectal cancer that is being surgically removed **You may NOT be eligible if...** - You are younger than 18 - Your cancer has come back or cannot be removed - Your cancer is complicated by a blockage or perforation - You have had previous left-sided colon, rectal, or anal surgery - You have lower rectal cancer Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHEREnd to end with Omega suture

After the rectum was divided with a linear stapler, the circular stapler was placed allowing the anvil rod to penetrate the rectal stump near the linear stapler line. An omega suture including both ends of the linear stapler line was placed. The linear stapler line was approximated around the anvil rod of the circular stapler in an omega shape fashion as the omega suture was tied. This technique resulted in a complete resection of linear stapler line by the circular stapler.

OTHEREnd to anterior rectal wall

A burse string suture was applied over the anvil of the circular stapler at the transection point of the descending colon using prolene 2/0. The circular stapler introduced though the anus and its rod directed toward the anterior rectal wall and colorectal anastomosis was performed.

Locations(1)

Ain Shams University

Cairo, Egypt

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NCT06546176

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