IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-3-18617 Original Research Paper A CRITICAL EVALUATION OF ILEOSTOMY WITH POSTOPERATIVE MORBIDITY AND OPTIMAL TIMING OF ILEOSTOMY CLOSURE Rohan Jain Dr. Dr. Sunil Jain Dr. March 2019 8 3 01 02 ABSTRACT

Introduction: Ileostomy is often a rescue operation in a number of difficult surgical situations that needs both surgeon and the patient to take a “tough call”, so as to eventually make a smooth sailing out of turbulance. ‘Ileostomy’ makes the task of the surgeon challenging since he has to intelligently manage nutrition, effluent reduction, effective collection along with choosing an optimal timing for its successful closure. This not only benefits the patient, but is also a cost–effective use of healthcare resources. Aim & Objective: To identify the indications and to evaluate different techniques and types of ileostomy. Material and Methods: A prospective study carried out on 62 patients. Operative findings, procedure done, immediate and late complications were recorded. Patient followed up at: 3 & 6 weeks. Readmission for ileostomy closure (4; 6 or 8 weeks). The final time of closure of ileostomy was noted with its optimal timing. Results: Duration of surgery at the time of ileostomy closure at <4 week was 27.65 ± 4.79 mins and at >4 week was 54.81 ±4.58 mins, (p<0.001). Duration of hospital stay less in early closure as compared to late closure. More cases of excessive effluent, fluid & electrolyte imbalance in late ileostomy closure (>4 weeks) as compared to early ileostomy closure (<4 weeks) (p<0.05). Mean hospital stay 8.87±1.84 days. Maximum (54.85%) patients discharged within 8 days after procedure. 2 (3.23%) cases expired. 93.33% (56) patients were satisfied with their outcome. 4 (6.67%) cases had postoperative complications and complaint about the outcome. Conclusion: Most of the researches are focused on early reversal of ileostomy and very little literature is available on early reversal of colostomy. The present study included the reversal of both and showed no mortality in early and delayed stoma closure