Complications of Temporary Ileostomy in Patients with Acute Abdomen with Ileal Perforation and Obstruction

Abstract

Objective: To determine the complications, outcomes associated with temporary ileostomy and to study the complications related to its closure.

Material & Methods: This study was conducted on 60 patients for two years from 1 January 2020 to 31 December 2020 at the Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences Gambat Khairpur Mirs, Sindh Pakistan. The researchers looked at ileal perforations larger than one-third of the circumference, gangrene, severe adhesions, and ancient perforations with peritoneal contamination. Clinical, intraoperative, biochemical and stomal, and peristomal problems and tissue histology were evaluated in the research

Results: A total of 60 patients were selected, 42 (70%) patients exhibited peritoneal contamination with pus, faecal matter, or blood in cases of trauma or gangrenous gut, 38 (63.33%) Patients found with ileal perforation. We found that 15(62.5%) of patients had skin excoriation with peritoneal contamination (70%, n=42) which shows an insignificant difference (P-value=0.249), four (16.66%) patients showed Mucocutaneous separation insignificantly (p-value 0.671) who reached after 48 hours at the hospital. Twenty (83.33%) of enteric perforation were significantly seen with Paralytic ileus (p-value=0.006). Nine (37.5%) cases with loop ileostomy revealed Ileostomy diarrhea which showed a significant difference (p-value = 0.041). In 8 (12.5%) of patients had significant Incisional hernia who arrived at the hospital after 72 hours,  tubercular perforation was significantly seen in 12 (50%) cases, an end ileostomy was observed in 25 (41.66%) patients (p-value=0.024, p-value=0.024, p-value=≤ 0.001).

Conclusions: Loop ileostomy is still a life-saving treatment, despite the inconvenience. An easy-to-operate stoma device can help patients to avoid more serious complications, and the appropriate placement of their stomas cannot be overstated.