Enhanced Perioperative Care for the Prevention of Colorectal Anastomotic Leakage (DOUBLE CHECK)
Anastomotic Leak Small Intestine, Anastomotic Leak Large Intestine, Anastomotic Leak Rectum
About this trial
This is an interventional treatment trial for Anastomotic Leak Small Intestine focused on measuring Riskfactor, Colorectal resection, Intraoperative condition, Perioperative care
Eligibility Criteria
Inclusion Criteria:
- Age 18 and above
- Bowel (small intestine/colon/rectal) resection with creation of a primary anastomosis
- Ability to give informed consent
Exclusion Criteria:
- The need for emergency surgery
- Scheduled operation concerning a reoperation for complications from recent surgery (within 3 months after the initial procedure).
- The inability to read or understand informed consent material
Sites / Locations
- UZA
- Elkerliek
- Maastricht UMC+
- Jeroen Bosch Ziekenhuis
- Bernhoven
- Maxima Medisch Centrum
- Amsterdam UMC
- Dijklander Ziekenhuis
- ZorgSaam
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Double Check enhanced perioperative care protocol
Current practice
Perioperative care according to a best practice protocol focussing on optimizing the intraoperative condition of the patient and thereby minimalize exposure to 6 known modifiable independent intraoperative risk factors: anemia, hypothermia, epidural anesthesia, vasopressor drug administration, incorrect antibiotic prophylaxis and hyperglycemia.
Perioperative care according to usual practice. Historical controls from the previously conducted LekCheck study will be used as replacement of a control arm.