- CODEN : IAJPBB
- issn 2349-7750
TITLE:
AN EVALUATION OF THE CAUSAL FACTORS OF COMPLICATIONS AFTER ILLEOSTOMY CLOSURE
AUTHORS:
Dr Sheikh Ali Ahmad Ajmal, Dr Bushra Khaliq, Dr Aamna Arif
ABSTRACT:
Aims: To evaluate the causes of complications after illeostomy reversal. Study design: An observational study. Place and duration: Surgical Unit-II of Nishtar Hospital Multan for one-year duration from June 2019 to June 2020. Methodology: The study included 46 consecutive patients who underwent illeostomy reversal within one year. We excluded patients under 12 years of age, patients who were confined within 6 weeks, and patients with additional, unrelated surgical intervention. All patients were followed up at weekly intervals for one month. The main endpoint was the occurrence of surgical complications within 30 days of reversal. Results: A series of 46 post-illeostomy closures were analyzed to evaluate factors contributing to morbidity and mortality. There were no deaths, but the complication rate was 10.9% (5 patients), with the most common complications being wound infection (4.35%) and anastomotic leak (4.35%) and paralytic ileus (2.17%). Primary closure of the stoma site, the technique of closure of the anastomotic site, type of stoma, and the surgeon's experience were significant contributing factors. Conclusion: We concluded that illeostomy closure has few complications but no mortality. The techniques of closure of the anastomotic site, type of stoma, surgeon's experience, and the technique of skin closure were predictors of complications. Key words: illeostomy closure, anastomotic leak
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