EARLY POSTOPERATIVE OUTCOMES IN PATIENTS UNDERGOING LAPAROTOMY AND ILEOSTOMY FOR ILEAL PERFORATION: A RETROSPECTIVE STUDY
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Abstract
Background: Although ileostomy is a life-saving procedure and is often used in infectious as well as malignant diseases, it is responsible for causing various early and late effects that affect patients' physical, mental, and social well-being. Indications in general vary geographically, with infectious causes like enteric fever and tuberculosis being prevalent in Pakistan. Complications such as peristomal skin excoriation, stoma retraction, and electrolyte imbalance are frequent, with the frequency of reports significantly different among studies.
Objective: To detect early postoperative problems in individuals who require laparotomy and ileostomy due to ILeaL perforation.
Study Design: This is retrospective study.
Duration and place of study: This study was conducted in Surgical unit 4 Bolan Medical Complex Hospital Quetta from March 2023 to March 2024.
Methodology: This retrospective study was carried out through non-probability consecutive sampling and involved patients aged 20-60 years with ILeaL perforation. Informed consent was obtained, and most of the patients had ailments that took between 24 to 72 hours. Wound dehiscence, wound infection, stoma retraction, peristomal skin excoriation, and electrolyte imbalance were some of the initial postoperative issues observed in two weeks. Information was gathered and processed employing SPSS version 26.
Results: There were a total of 80 patients involved in this research. All the participants of this study were aged from 20 years to 60 years. The mean age calculated was 33.17 years. The average time of the disease was found to be 37.10 hours. Majority of the participants were male (53.75%). Ileal perforation, responsible for peritonitis, occurs most often in middle-aged to young adults. In our study, the age group 20-40 developed more cases of ileal perforation-induced peritonitis. Complications were seen in a total of 57.5% cases. Amongst those, the most common complication, related to ileostomy, was wound infection.
Conclusion: In total, 57.5% of cases were having complications, and wound infection emerged as the most common ileostomy-related complication.
References
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Fida Ahmed
Associate Professor of Surgery, Surgical unit 4 Bolan Medical Complex Hospital Quetta Pakistan
Imam Bakhsh
Associate Professor of Surgery, Mekran Medical College Turbat at Kech Balochistan Pakistan
Irshad Ahmed
Senior Registrar of Surgery, Jhalawan Medical College Khuzdar Balochistan Pakistan
Asghar Ali
Senior Registrar of Surgery, Mekran Medical College Turbat at Kech Balochistan Pakistan
Nazia Naseer
Assistant Professor of Surgery, Mekran Medical College Turbat at Kech Balochistan Pakistan
Saiqa Rafiq
Senior Registrar of Surgery, Mekran Medical College Turbat at Kech Balochistan Pakistan