NCT05792579

Early Versus Late Stoma Closure After Traumatic Colorectal Injuries

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 40 (estimated)
• Sponsor: Assiut University · Academic / Other
• Sex: All
• Age: 10 Years – 50 Years
• Healthy volunteers: Accepted

Summary

The aim is to study feasibility,advantages and disadvantages of early closure of stoma versus late closure of stoma

Detailed description

Most traumatic colon injuries can be repaired primarily, but a stoma may still be required for severe colonic or rectal injury. The current trend is to reverse the stoma early, rather than to wait the traditional 3 months before closure)1-3) Trauma patients, however, are usually young and otherwise healthy individuals, with an excellent potential for optimal healing once they have overcome the initial insult. It is these patients who could benefit from early closure of the stoma(4-6). Once the temporary stoma has been constructed, various reasons have been cited for the development of colon-related complications after closure. The timing of the operation, the age of the patient, the type of colostomy, and the use of primary or delayed skin closure have all been implicated(7-8). Of all these, the timing of the operation is the most controversial. The early closure of a temporary stoma has many attractions. It can reduce hospitalization time and cost, eliminates the need for stoma care by the patient, and abolishes the psychologic, social, and financial burdens of a stoma in an otherwise healthy person(9-11)

Conditions

• Stoma Colostomy

Interventions

Type	Name	Description
PROCEDURE	stoma closure	early closure of stoma in trauma patients

Timeline

• Start date: 2023-04-01
• Primary completion: 2025-02-20
• Completion: 2025-03-20
• First posted: 2023-03-31
• Last updated: 2023-03-31