Study on Treatment and Management of Ileal Perforation

Objective Our aim was to study the different surgical treatment done in patients with ileal perforation admitted in RIMS, Ranchi, and a centre of excellence in Jharkhand, India. Methods This is a prospective observational study of patients operated for ileal perforation in a year. A total of 70 patients were evaluated. Their age, sex, signs, symptoms, lab investigations, their general status, operative interventions, and post-operative morbidity and mortality recorded. Results Out of 70 patients, 60 % were due to typhoid, 20 % were due to trauma, rest others included tubercular (13 %) and 7 % whose cause couldnt be ascertained. The surgical procedure performed were primary ileostomy in 57 patients, simple closure in 8 patients, resection and anastomosis in 2 patients and simple closure followed by defunctioning loop ileostomy in 3 patients. Conclusion Appropriate and apt surgical procedure should be based on patients general condition, time since presentation and operative findings. Timely and appropriate surgical intervention decreases morbidity and mortality.