Early Postoperative Complications and Surgical Anatomy After Ileostomy Reversal Among the Population of Khyber Pakhtunkhwa, Pakistan

Abstract

Objective To assess the frequency of early postoperative complications and surgical anatomy after ileostomy reversal among the population of Khyber Pakhtunkhwa, Pakistan. Materials and methods In the current study, a total of 241 patients were assessed. Sufficient urine output, usual serum electrolytes and urea were indicators of a sufficient recovery. All patients remained in the ward for a minimum of seven days after surgery to detect early postoperative complications like surgical site infection (SSI), wound dehiscence, small bowel obstruction, and anastomotic leak. Results In the present study, 113 (47%) were in age 18-40 years, while 128 (53%) patients were in age 41-60 years. The mean age was 40±10.05. One hundred twenty-three (51%) were male, and 118 (49%) patients were female. One hundred seventy-one (71%) had ileostomy closure in ≤3 months, 70 (29%) had ileostomy closure in >3 months. The mean duration of closure was 03±3.70 months. One hundred and six (44%) had enteric perforation, 87 (36%) had blunt trauma, 48 (20%) had tuberculous abdomen. Moreover, the frequency of early complications of ileostomy closure was analyzed as 19 (8%) had surgical site infection, 14 (6%) patients had wound dehiscence, 12 (5%) patients had small bowel obstruction, and three (1%) patients had anastomotic leakage. Conclusions Our study concluded that early postoperative complications and surgical anatomy after ileostomy reversal among the population of Khyber Pakhtunkhwa, Pakistan were surgical site infection (8%), wound dehiscence (6%), small bowel obstruction (5%), and anastomotic leak was (1%).

Clinical study of stoma closure: its complications and management

“…According to various studies Wound infection is most commonly reposted complications whereas in our study it belongs to obstruction. 8 de Paula study reported most common complication of wound infection of 3.1%. 9 Out of 50 patients 26(52%) patients underwent for stoma closure with direct stoma closure technique and 24(48%) patients underwent for resection and anastomosis.…”

“…5 Asadullah khan et al reported 71% of stoma closure in <3nmonths and 29% of stoma closure in >3 months. 8 Chow et al study reported median time of stoma closure is 109 days. 11 Depending upon interval to stoma closure more complications were seen with late stoma closure in 61-70 days interval (100%) and less complications were seen with early stoma closure in 31-40 days (36%).…”

“…7 Study done by Asadullah Khan et al showed mean age of 41.5 years. 8 In this study, total 50 patients have been grouped according to sex male and female %. In our study, 42(82%) were male patients and 8 (16%) were female patients.…”

Dissecting the effect of ileal faecal diversion on the intestine using single‐cell sequencing

“…The most frequent complications associated with the reversal of ileal faecal diversion include small bowel obstruction (4%–20%) and wound infection (5%–11%). Other complications include anastomotic leak, anastomotic stenosis and enterocutaneous fistula 5–8 . Diversion colitis, an inflammatory intestinal disease, is also directly related to ileal faecal diversion 9 .…”

“…Other complications include anastomotic leak, anastomotic stenosis and enterocutaneous fistula. 5 , 6 , 7 , 8 Diversion colitis, an inflammatory intestinal disease, is also directly related to ileal faecal diversion. 9 Some clinical practices, such as the stimulation of the distal defunctioned intestine with faecal contents from the functional intestine, probiotics or saline before the reversal of faecal diversion, have shown promising prospects for the promotion of postoperative recovery and reduction in the incidence of complications.…”