209 The patient perspective on colorectal anastomotic leaks: A qualitative study research team comprised members with diverse perspectives (Supplementary S3) to limit the role of preconceptions and pre-study beliefs 23. RESULTS Study participants Ten participants who underwent colorectal resections for benign or malignant conditions were included in the study (Table 1). The participants were from the Netherlands (n=3), Canada (n=1), Australia (n=1), the United States (n=3), and the United Kingdom (n=2). Six were male, with a median age of 53 (range 39-65) years. The wife of one participant (P6) joined the interview. Analysis of the interviews showed that no new codes emerged by the ninth interview. However, one additional interview was analyzed to ensure thematic saturation. AL occurred from 3 days to one month after the index operation. Eight participants underwent percutaneous drainage and 7 underwent a reoperation, including six with a new ostomy. The median time since the AL diagnosis was 2 years (range 4-88 months). Interviews lasted between 30-45 minutes. Table 1. Participant characteristics Participant, gender, age (years) Surgical procedure POD of AL diagnosis Time since AL diagnosis (months) Treatment of AL Outcomes (at the time of the interview) P1, F, 45 Ileostomy revision after open procedure (unclear which one) 3 days 24 Reoperation with stoma creation and percutaneous drainage Not yet medically fit for stoma reversal P2, F, 64 Laparoscopic sigmoid resection without diverting stoma for metastatic colon cancer 9 days 40 Reoperation with stoma creation, and percutaneous drainage Permanent stoma, wound complications, and parastomal hernia P3, F, 39 Ileostomy revision after open subtotal colectomy with diverting ileostomy ± one week 88 IV antibiotics Recto-vaginal fistula which required another surgery and new ileostomy P4, M, 42 Colostomy revision after laparoscopic sigmoid resection 3 days 36 Reoperation (without stoma creation), and percutaneous drainage NA P5, M, 54 LAR with ileostomy ± 2 weeks 36 Percutaneous drainage Stoma reversal done, LARS 10
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