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. 


Ileal perforation primary repair repair with ileostomy


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
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


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