Comparing Surgical Outcomes of Colostomy Reversal With or Without 3 Days of Bowel Preparation in Children Ages 1 to 15

What this Trial Is About

This research aims to compare the results of colostomy reversal surgery in children aged 1 to 15 years, focusing on whether three days of bowel preparation before surgery affects outcomes like anastomotic leakage, surgical site infection, and hospital stay. The trial is a prospective randomized controlled study conducted by the University of Child Health Sciences and Childrens Hospital, Lahore, designed to answer if preoperative gut preparation makes a difference compared to no preparation. Participants are divided into two groups one group receives no mechanical bowel preparation and is admitted one day before surgery with standard fasting instructions, while the other group undergoes a three-day bowel preparation involving a fiber-restricted diet, clear liquids before surgery, and saline enemas both through the stoma and rectally. Both groups then undergo colostomy reversal surgery. During the study, participants will be monitored for key outcomes such as anastomotic leakage within 5 to 10 days post-operation and wound infection at 7 and 30 days after surgery. Hospital stay length and wound infections will also be evaluated. The study is double-blinded and randomized to provide reliable comparative data on these surgical practices.

Comparison of Outcome of Three Days Bowel Preparation vs No Bowel Preparation in Patients of Colostomy Reversal