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BackgroundThis is the first randomized clinical trial evaluating and comparing bowel function and early and late outcomes of two different hand-sewn surgical techniques used for the closure of diverting protective loop ileostomy.MethodsIn this prospective, randomized, single-blind clinical trial, a total of 40 patients with a history of rectal cancer, low anterior resection, and diverting loop ileostomy who were candidates for ileostomy reversal were included. The patients were randomly assigned into two groups, including hand-sewn direct repair of the ileal defect (group A) and resection and hand-sewn anastomosis of the ileum (group B). One patient in group A lost the follow-up and excluded from the study.ResultsThe mean age of patients was 56.42±10.47 and 52.10±10.24 years in groups A and B, respectively. Evaluating the early postoperative period, group A developed an earlier first gas passage (1.68±0.74 vs. 2.25±0.91 days, p |
