##plugins.themes.academic_pro.article.main##

Abstract

Despite modern surgical technique ileal perforation carries a high rate of morbidity and mortality but there is no definitive management protocol. The aim of this cross-sectional study was to find out the ideal operative procedure. A Total 50 patients were admitted in the Surgical Units of Rangpur Medical College & Hospital from January 2005 to January 2006. At laparotomy out of 50 patients of ileal perforation 25 underwent primary closure and another 25 patients underwent repair with ileostomy. Out of 8 patients died in this study 2 were related with septicaemia and 6 were related with faecal fistula. Six patients out of 25 with primary closure give rise to fistula.6 patients developing faecal fistula in this study were all surgically treated by repair alone and all died. Early hospitalization and primary exteriorization of the perforation as temporary ileostomy can decrease morbidity and mortality considerably. 

Keywords

Ileal perforation primary repair repair with ileostomy

##plugins.themes.academic_pro.article.details##

Author Biographies

A T M Ashaduzzaman, Colonel Malek Medical College, Manikganj

Assistant Professor and Head, Department of Surgery, Colonel Malek Medical College, Manikganj

Md. Osman Goni, Colonel Malek Medical College, Manikganj

Assistant Professor of Surgery, Colonel Malek Medical College, Manikganj

Md. Tanvir Ahmed

Department of Urology, Colonel Malek Medical College, Manikganj

Shishir Ranjan Das, Colonel Malek Medical College, Manikganj

Department of Neonatology, Colonel Malek Medical College, Manikganj

Md. Aminul Islam Khan, Colonel Malek Medical College, Manikganj

Department of Surgery, Dhaka Medical College, Dhaka, Bangladesh

How to Cite
1.
Ashaduzzaman ATM, Goni MO, Ahmed MT, Das SR, Khan MAI. Outcome of Ileal Perforation Repair with Ileostomy in Comparison with Repair Alone. CMMCJ [Internet]. 2019 Jul. 31 [cited 2022 Aug. 13];2(02):14-7. Available from: https://cmmcj.org/index.php/cmmcj/article/view/23

##journal.references##

  1. Nadkarni KM, Shelty SD, Kagzi RS, Pinto AC and Bhalerao RA. Small Bowel Perforation- A Study of 32 Cases. Archives of surgery.
  2. ;53:116-122.
  3. Rouf HMA. Problem of intestinal Tuberculosis in Bangladesh Case Study and Review. Dissertation for fellowship. 1982.
  4. Mehendale VG and Samsi AB. Jejuno-Ileal perforation. J Post Grad Med. 1979;25:41-47.
  5. Ihekwaba FN. Ascaris Lumbricoides and Perforation of The Ileum- A Critical Review. Br J Surg.1979;66:132-134.
  6. Waye JD and Lithgow C. Small Bowel Perforation in Regional Enteritis. Gastroenterology. 1967;53:625-629.
  7. Bhansali SK. Gastrointestinal Perforation: A Clinical Study of 96 Cases. J Postgrad Med. 1967;13:15-20.
  8. Prasad PB, Choudhary DK and Omprakash. Typhoid Perforation Treated by Closure and Proximal Side-To-Side Ileo-Transverse Colostomy. J Ind Med Assoc. 1975;65:297-302.
  9. Singh KP, Singh K and Kohli JS. Choice of Surgical Procedure in Typhoid Perforation: Experience in 42 Cases. J Indian Med Assoc.
  10. ;89:255-266.
  11. Talwar S, Sharma RK, Mittal DK and Prasad P. Typhoid Enteric Perforation. Aust NZ J Surg. 1997;67:351-353.
  12. Athie CG, Guizar CB, Alcantara AV, Alcaraz GH and Montalvo EJ. Twenty-Five Years of Experience in the Surgical Treatment of
  13. Perforation of The Ileum Caused by Salmonella Typhi at the General Hospital of Mexico City. Surgery. 1998;123:632-636.
  14. Pal DK. Evaluation of Best Surgical Procedures in Typhoid Perforation- An Experience of 60 Cases. Trop Doct. 1998;28:168-171.
  15. Bailiga AV. Surgical Complications of Typhoid. Indian J Surg. 1949;11:166-177.
  16. Singh S, Singh K, Grover As, Kumar P, Singh G and Gupta DK. Two-layer Closure of Typhoid Ileal Perforation: A Perspective Study of 46 Cases. Br. J Surg. 1995;82:125-130.
  17. Sharma D, Bhansali M, Saxena A and Raina VK. Treatment of Typhoid Ileal Perforation by Resection and Temporary Ileostomy. Indian Journal of Gastroenterology. 2002;2:55-60.
  18. Adensunkanni AR, Desunkan MI and Ajao OG. The prognostic factors in typhoid ileal perforation: A prospective study of 50 patients. J R Coll Surg Edinb. 1997;42:395-399.