Aetiology and Outcome of Resection and Primary Anastomosis in Multiple Ileal Perforation

Authors

  • Gobinda Chandra Saha Professor, Department of Surgery, Sir Salimullah Medical College & Mitford hospital, Dhaka
  • Md Ali Azam MS (Resident), Department of Surgery, Rajshahi Medical College Hospital, Rajshahi
  • Md Shoeb Ur Rashid Junior Consultant, Department of Burn and Plastic Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Debashis Dey Assistant Professor, Department of Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Muslema Begum Assistant professor, Department of Anesthesiology, Dhaka medical college Hospital, Dhaka
  • Md Hasib Al Mamun Registrar, Department of Burn and Plastic Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Chhamita Sultana Chhanda MD (Resident), Department of Anesthesiology, Dhaka medical college Hospital, Dhaka

DOI:

https://doi.org/10.3329/ssmcj.v29i2.58975

Keywords:

Multiple Ileal perforation, Typhoid ileal perforation, Non specificic ileal perforation, Tubercular perforation, Wound dehiscence, Incisional hernia

Abstract

Background: Ileal perforation is a very frequent surgical emergency in surgery wards. In tropical country infection is the commonest cause. Repair of perforation, primary repair with loop ileostomy and resection and primary anastomosis are the commonly performed methods.

Objectives: To identify the aetiology and assess the outcome of resection and primary anastomosis in multiple ileal Perforation.

Study Procedure: This Quasi experimental study was carried out in the Department of Surgery, Rajshahi Medical College Hospital, Rajshahi. 92 patients were included in this study. Thorough clinical, Radiological and biochemical parameters evaluation with postoperative histopathology were performed. All patients treated with resection and primary anastomosis. Different types of Data and variables were recorded through data collection sheet. Mean and frequency of all quantitative and categorical variables were determined.

Results: The mean age 42.60±4.44 (age range:18-69) years. Out of 92 patients 74(80.43%) were male and 18(19.56%) were female and ratio was 4.11:1.Presentation were 92(100%) abdominal pain, vomiting 74(80.43%), fever 60(65.21%) and abdominal distension 56(60.86%). Common Cause were typhoid fever 43(46.73%) and nonspecific inflammation 28(30.43%). Patient suffered from wound infection 18(19.44%), dehiscence 7(7.56%), anastomosis leakage 6(6.68%) and 5(5.43%) patient experienced incisional hernia. 74(80.43%) recovered uneventfully, 17(18.47%) recovered with complication and only 1(1.08%) died.

Conclusion: Among the infections, typhoid fever is still the prime cause of multiple ileal perforation. Wound infection, wound gap, burst abdomen & primary repair leakage are the common complications. Uneventful outcome is present in majority cases. Delayed presentation, nutritional status and anastomosis from ileocaecal valve are the important deciding factor of worst outcome.

Sir Salimullah Med Coll J 2021; 29(2): 153-157

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Published

2022-04-07

How to Cite

Saha, G. C., Azam, M. A. ., Rashid, M. S. U., Dey, D. ., Begum, M. ., Mamun, M. H. A., & Chhanda, C. S. . (2022). Aetiology and Outcome of Resection and Primary Anastomosis in Multiple Ileal Perforation. Sir Salimullah Medical College Journal, 29(2), 153–157. https://doi.org/10.3329/ssmcj.v29i2.58975

Issue

Vol. 29 No. 2 (2021)

Section

Original Article

License

Copyright (c) 2022 Gobinda Chandra Saha, Md Ali Azam, Md Shoeb Ur Rashid, Debashis Dey, Muslema Begum, Md Hasib Al Mamun, Chhamita Sultana Chhanda

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.