11. Comparison between Primary Repair Versus Loop ileostomy in ileal Perforation
Rab Nawaz Malik1, Abdul Quddus1, Shabbir Ahmad1, Hafeez Ullah2, Asim Shafi1 and Imran Asim2
ABSTRACT
Objective: Objective: to compare the outcomes primary repair and loop ileostomy in ileal perforated patients.
Study Design: Randomized controlled trial study.
Place and Duration of Study: This study was conducted at the General Surgery department of Bakhtawar Amin Medical and Dental College, Multan and Ghazi Medical College Dera Ghazi Khan. Study was completed in one-year duration from January 2019 to January 2020.
Materials and Methods: Fifty proven patients of ileal perforation were enrolled in study and divided into two (group A, B) groups by lottery method. Group A managed with primary repair and B with loop ileostomy. SPSS version 23 was used for data analysis.
Results: Clinical presentations such as pain abdomen, vomiting, fever, constipation, abdomen distension and trauma of Group A was noted as n=5 (20%), n=6 (24%), n=4 (16%), n=3 (12%), n=5 (20%) and n=2 (8%), respectively. While, clinical presentations such as pain abdomen, vomiting, fever, obstruction, abdomen distension and trauma of Group B was noted as n=4 (16%), n=4 (16%), n=8 (32%), n=2 (8%), n=4 (16%) and n=3 (12%), respectively. The difference was statistically insignificant.
Conclusion: Loop ileostomy is a better choice in management of ileal perforation as compare to primary repair. It is associated with less postoperative complications and this also helpful in reducing mortality in perforated cases.
Key Words: ileal perforation, Primary repair, Loop ileostomy, surgical management.
Citation of article: Malik RN, Quddus A, Ahmad S, Hafeez Ullah, Shafi A, Asim I. Comparison between Primary Repair Versus Loop ileostomy in ileal Perforation. Med Forum 2020;31(8):46-49.