Comparative analysis of damage control surgery vs. Extensive surgery, in management of ileal perforation: results of a tertiary hospital

Shivraj Meena; Rakesh Kumar Meena

Volume : IX, Issue : VIII, August - 2019

Comparative analysis of damage control surgery vs. Extensive surgery, in management of ileal perforation: results of a tertiary hospital

Shivraj Meena, Rakesh Kumar Meena

Abstract :

Background: Intestinal perforation is most serious complication mainly in developing country like in India. Perforation of terminal ileum is important cause for obscure peritonitis and many patients present in a severe toxic state because of delay in diagnosis, late presentation to hospital and scarcity of medical facility in rural area. Methods: A retrospective study was conducted to assess the outcome in ileal perforation, 60 patients were included from the Study period August 2017 to May 2019. All the patients were underwent laparotomy. The patients were then divided into two groups according to the surgical technique adopted at the initial laparotomy: Damage control surgery vs. Extensive surgery. Clinical data, intraoperative findings, complications and mortality were evaluated and compared for each group. Results: 60 patients presented with intestinal perforations in which multiple perforation in 8 ( 33.3%) patients. 52 underwent damage control surgery and 8 had Extensive surgery. Morbidity and Mortality rate were high in extensive surgery group which was 25%. There was significant difference in between two groups. Conclusions: Patients who underwent limited surgery (stoma formation) having lesser complication with less morbidity and mortality rate with better postoperative outcome in compare to extensive surgery.