Outcome of Ileal Perforation Repair with Ileostomy in Comparison with Repair Alone
Keywords:Ileal perforation, primary repair, repair with ileostomy
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.
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