A retrospective comparative analysis of two different techniques of small bowel diversion in Ileal perforation cases: a single centre experience
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 12
Abstract
Introduction: Ileal perforation is a common surgical emergency especially in Indian sub-continent due to increased incidence of enteric fever and tuberculosis- two most common causes of ileal perforation. Many different techniques had been applied for treatment of perforation like primary closure, exteriorization of perforation site or primary closure with proximal diversion stoma. Many cases are not suitable for primary closure; in such cases ileostomy is done. Ileostomy is associated with significant morbidity which adds to financial burden and decreases quality of life. Tube ileostomy has been explored as an alternative to conventional ileostomy sans its morbidity. Methods: Here we retrospectively analyzed ileal perforation cases treated with either loop ileostomy or tube ileostomy at our centre during last 3 years. Result: A total of 50 ileal perforation cases treated with ileostomy either tube ileostomy ( n = 21) or conventional loop ileostomy (n = 29 ) were included for study and their immediate and late post operative complications were recorded and analysed. Conclusion: We found that tube ileostomy is a safe and effective mode of diversion and is associated with minimal stoma related morbidity like peristomal excoriation, hernia, retraction, prolapse, obstruction etc.
Authors and Affiliations
Parijat Suryavanshi, Anurag rai, Abhishek suryavanshi, Rupali singh
Keywords
Related Articles
- EP ID EP231779
- DOI 10.17511
- Views 78
- Downloads 0
Histopathological spectrum of lesions of tonsil- A 2 year experience from tertiary care hospital of Maharashtra, India
Background: Palatine tonsils are paired masses of lymphoid tissue which act as immunologic barrier against the entry of pathogenic agents into the respiratory and digestive tracts. Despite their protective function, tons...
Outcome analysis of patients presenting with neurological manifestations of Plasmodium Vivax malaria in tertiary care hospital of Mumbai
Objective: Plasmodium vivax (P. vivax) infection has been considered for a long time a benign and self-limited disease. Percentage of complicated cases of vivax malaria is on the increasing trend, cerebral malaria being...
Biofilm production by uropathogens causing catheter associated urinary tract infection
Background: The microbial populations within urinary catheter frequently develop as bioļ¬lms, directly attaching to the surface of catheters. Bacteria in biofilm are protected from antimicrobial chemotherapy as well as ho...
A Clinico-Haematological study of hemoglobin E disease and trait
Introduction: HbE (Haemoglobin E) is one of the most important and common haemoglobinopathy. Its definitive diagnosis can be made on capillary electrophoresis. Our study aimed to analyze the clinico-haematological profil...
Characteristics of multi drug resistant tuberculosis cases at a selected tertiary level hospital
Background: This study was carried out to determine the characteristics of MDR-TB cases under treatment at National Institute of Diseases of the Chest and Hospital (NIDCH), Mohakhali, Dhaka. Methods: This was a descripti...