A Descriptive Study of Surgical Management of Ileal Perforation

Abstract

BACKGROUNDEnteric perforation is one of the most frequently encountered acute surgical emergency in Northern India and always warrants operative intervention. But the kind of intervention, whether primary repair or ileostomy is a contentious issue. MATERIALS AND METHODS120 cases of ileal perforation were studied in retrospective manner from August 2015 to July 2016 to gather information on demographic profile, clinical presentation and laboratory data. Details were obtained for operative findings and kind of operative intervention done and postoperative course of the patients. Based on the kind of operative intervention received, patients were divided into four groups. RESULTSIleal perforation occurred in young males (age 29.2 ± 7.9 years). Male [M] Female [F] ratio has been found to be M: F, 2.33: 1. In our study 60% of patients had Widal positive supporting typhoid aetiology; 50% of patients underwent primary closure, while 30% underwent ileostomy. Nature of clinical presentation, laboratory data and operative findings in both groups has been analysed. CONCLUSIONWe have carried out this study to label some of the preoperative and intraoperative factors, which can serve as a guideline for decision making in operative intervention in a specific patient. KEYWORDSIleal Perforation, Ileostomy, Primary Closure, Typhoid. HOW TO CITE THIS ARTICLE:Yashaswi YK, Bhushan V, Prakash P, et al. A descriptive study of surgical management of ileal perforation.