A randomised controlled feasibility study to compare two surgery techniques in the formation of a permanent end colostomy; the trans-peritoneal(TP) technique - currently, the most commonly used technique and the investigational extra-peritoneal(EP) technique, which has been reported in small studies to reduce the risk of parastomal hernia . This feasibility study will primarily aim to determine the feasibility viability of progression to a full multi-centre trial and test study design acceptability for participants. Participants will be asked to consent to be randomised to either the TP or EP procedure during surgery. Following surgery, participants will be followed up to a maximum of 12 months and asked to complete quality of life questionnaires (EQ5D and Colostomy Impact Score). Participant data will also be accessed by research teams at site to collect data on stoma appliance use and complications.
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Assessing the feasibility of the trial based on recruitment rate
Timeframe: Consent
Assessing the feasibility of the trial based on data completeness
Timeframe: Week 6
Assessing the feasibility of the trial based on surgeon involvement
Timeframe: set up
Assessing the feasibility of the trial based on recruitment within sites
Timeframe: consent
Assessing the feasibility of the trial based on surgeon training
Timeframe: set up
Assessing the feasibility of the trial based on surgeon compliance with the intervention
Timeframe: month 12
Assessing the feasibility of the trial based on collection of key outcomes
Timeframe: week 6, month 6 and month 12
Assessing the feasibility of the trial based on overall QoL reported in intervention group compared with standard care group
Timeframe: week 6, month 6 and month 12