A Comparative Study between the Outcome of Primary Repair versus Loop Ileostomy in Ileal Perforation

Joint Authors

Mittal, Sushil
Singh, Harnam
Munghate, Anand
Singh, Gurpreet
Garg, Anjna
Sharma, Jyoti

Source

Surgery Research and Practice

Issue

Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2014-03-27

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Medicine

Abstract EN

Introduction.

Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries.

It is reported to constitute the fifth common cause of abdominal emergencies due to high incidence of enteric fever and tuberculosis in these regions.

Methods.

Sixty proven cases of ileal perforation patients admitted to Surgical Emergency were taken up for emergency surgery.

Randomisation was done by senior surgeons by picking up card from both the groups.

The surgical management was done as primary repair (group A) and loop ileostomy (group B).

Results.

An increased rate of postoperative complications was seen in group A when compared with group B with 6 (20%) patients landed up in peritonitis secondary to leakage from primary repair requiring reoperation as compared to 2 (6.67%) in ileostomy closure.

A ratio of 1 : 1.51 days was observed between hospital stay of group A to group B.

Conclusion.

In cases of ileal perforation temporary defunctioning loop ileostomy plays an important role.

We recommend that defunctioning ileostomy should be preferred over other surgical options in cases of ileal perforations.

It should be recommended that ileostomy in these cases is only temporary and the extra cost and cost of management are not more than the price of life.

American Psychological Association (APA)

Mittal, Sushil& Singh, Harnam& Munghate, Anand& Singh, Gurpreet& Garg, Anjna& Sharma, Jyoti. 2014. A Comparative Study between the Outcome of Primary Repair versus Loop Ileostomy in Ileal Perforation. Surgery Research and Practice،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1047661

Modern Language Association (MLA)

Mittal, Sushil…[et al.]. A Comparative Study between the Outcome of Primary Repair versus Loop Ileostomy in Ileal Perforation. Surgery Research and Practice No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1047661

American Medical Association (AMA)

Mittal, Sushil& Singh, Harnam& Munghate, Anand& Singh, Gurpreet& Garg, Anjna& Sharma, Jyoti. A Comparative Study between the Outcome of Primary Repair versus Loop Ileostomy in Ileal Perforation. Surgery Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1047661

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1047661