Intraoperative Testing of Colorectal Anastomosis - Air or Water (Methylene Blue)? (ITCORA)
ColoRectal Cancer, Colonic Diverticulitis, Anastomotic Leak
About this trial
This is an interventional diagnostic trial for ColoRectal Cancer focused on measuring anastomotic leak, colorectal, anastomosis testing, Intraoperative testing
Eligibility Criteria
Inclusion Criteria:
- Patients over the age of 18 undergoing elective colonic resection of their distal part of the colon/ rectum with colorectal anastomosis in a laparoscopic or open approach for a benign or malignant colonic disease.
Exclusion Criteria:
- Emergent colonic resections,
- Colonic resections with no colorectal anastamosis
Sites / Locations
Arms of the Study
Arm 1
Other
colorectal resection and anastamosis
Intraoperative testing of colorectal anastomoses Insert a Foley catheter through the anus into the rectum. Insufflate the Foley balloon with 5 cc of air. fill the pelvic space with 500 CC of warm saline Insufflate air into the rectum up to a pressure of 35 mmH2o as measured by external manometer Remove the saline from the pelvic space. Inject methylene blue in to the rectum up to a pressure of 35 mmH2o measured by external manometer Remove the methylene blue from rectum. NB the above procedures are standard practice for assessing the quality of colorectal anastomoses during colorectal surgery. The purpose of the study is to compare these standard methods of evaluation to determinant which method is superior