Title: Protective Ileostomy in Ileal Perforation and Its Outcome Compared to Primary Repair

Authors: Dr J.Ramanaiah, Dr Chilumula Pavan Kumar, Dr Rajesh.Indla

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.225

Abstract

A hospital based single blinded randomized study of 50 patients admitted to GMC&GGH,KADAPA  with ileal perforation (diagnosed per-operatively) during the period of November 2016 to November 2018. All the 50 patients of ileal perforation were divided into two groups on consecutive sampling basis: Group A (primary repair with protective ileostomy and Group B (only primary repair). Detailed data of each patient including presentation, operative findings, procedures performed, postoperative outcome and HPE was entered on a specially designed proforma. The main outcome measures found significant were postoperative complication, hospital stay, psychological impact and mortality.

Conclusion: The construction of a temporary loop ileostomy to provide defunctioning for repair of ileal perforation reduces the incidence of fatal complication like faecal fistula.

Defunctioning  ilestomy is a good option and life saving procedure.

Keywords: Protective Ileostomy; Faecal fistula; Ileal perforation; Primary closure; End-to-end anastomosis.

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Corresponding Author

Dr Chilumula Pavan Kumar

Junior Resident of Surgery, GMC& GGH, Kadapa, India