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Sheraz Malik¹, Amir Iqbal Memon¹, Hitesh Kumar², Aisha Masroor Bhatti¹, Maria Zeb¹ and Saba Gul¹

ABSTRACT

Objective: To determine the outcome (morbidity and mortality after surgery) of early ileostomy closure after typhoid perforation.

Study Design: Descriptive, Cross Sectional Study

Place and Duration of Study: This study was conducted at the Department of General Surgery, Liaquat University Hospital Hyderabad/Jamshoro from February 2022 till January 2023.

Materials and Methods: 100 consenting patients meeting the eligibility criteria underwent elective early ileostomy reversal (<6 weeks of ileostomy). Details were noted regarding the imaging procedure done for stoma assessment and operative notes (duration of surgery, adverse events, blood loss etc.). Patients were followed up postoperatively till discharge and at 7^th day, 14^th day, 21^st day and then at 6 weeks for evaluation of the outcomes.

Results: The mean age of the patients was 355.75 years. Parastomal hernia occurred in 4 (4%) patients, wound infection was present in 20 (20%) patients, anastomotic leakage was seen in 7 (7%) patients, skin excoriation occurred in 4 (4%) patients, prolonged hospital stays occurred in 26 (26%) patients and mortality occurred in 1 (1%) patients.

Conclusion: Early reversal of ileostomy after typhoid perforation was associated with lesser rates of anastomotic leakage, skin excoriation and mortality but with higher rates of wound infection and prolonged hospital stay.

Key Words: Typhoid perforation, ileostomy, reversal

Citation of article: Malik S, Memon AI, Kumar H, Bhatti AM, Zeb M, Gul S. Early Closure of Loop Ileostomies in Typhoid Perforation. Med Forum 2023;34(8):57-61. doi:10.60110/medforum.340814.