IJAR - Indian Journal of Applied Research

Dr. Kumar Ratnesh; Dr. Pradip Kumar Bazaz

Volume : X, Issue : VI, June - 2020

A study on early complications following ileostomy in emergency laparotomy for ileal perforation in our department

Dr. Kumar Ratnesh, Dr. Pradip Kumar Bazaz

Abstract :

Background: Intestinal perforation is one of the most common surgical emergency we encounter in our emergency department. Intestinal perforation is defined as loss of continuity of the bowel wall that can have devastating complications on health. Early diagnosis of peritonitis and early repair of perforation either with ileostomy or primary closure of defect plays an important role in outcome. Prompt early recognition and treatment of complications following ileostomy is also very important in such cases. in this study we look out for the early complications following ileostomy. Materials and Methods: The study was done in General Surgery department, Jawaharlal Nehru Medical College, Bhagalpur from May 2019 to Feuary 2020. In this study, 50 cases were taken who had undergone Emergency laparotomy following Ileal perforation with ileostomy in our department. Results: In this study there were total 50 patients. Total number of males and females are 39 and 11. The incidence in males was greater than females. Average age group of presentation was 30 +/– 2 years of age. Typhoid perforation is the most common case of ileal perforation in almost 31 patients (widal test) followed by tuberculosis in 5 patients followed by non–specific perforation in 14 patients. Fever was the most common symptom in 35 patients. 22 out of 50 patients were having co–morbidities like Diabetes, hypertension. Radiologically gas under diaphragm was seen in 37 patients. 5 patients were malnourished. 41 patients presented to emergency in the first week of disease. Wound infection and skin excoriation were the most common complications seen. Conclusion– Ileal perforation is more common in India. Early surgery and adequate resuscitation are the important factors for successful management of patients with ileal perforation. There is an increasing trend of performing stoma nowadays in emergency situations although being bothersome, ileostomy is still a live saving procedure.