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TITLE:

A CROSS-SECTIONAL RESEARCH TO COMPARE THE VARIOUS POSTOPERATIVE COMPLEXITIES OCCURRENCE IN SECONDARY ADVANCED PERITONITIS AFTER ILEOSTOMY

AUTHORS:

Dr Nazish Tanveer, Dr. Rabeea Irfan, Dr. Farhana Shabbir

ABSTRACT:

Background: Since ancient times, depletion of body cavities has been used in medicine. For many years, there has been a dispute related to the use of peritoneal drainage in patients with diffuse peritonitis. Objective: To compare the occurrence of different postoperative complexities in secondary advanced peritonitis after ileostomy because of enteric excavate with or without drains, was the objective of this study. Patients and Methods: This research was carried out at Mayo Hospital, Lahore from February 2017 to October 2017. The patients selected for the study were having peritonitis for above 48 hours. In all the participants, ileostomy was carried out. All patients were divided into two categories. Group – A include patients with transperitoneal drainage. Whereas, Group – B contains patients without drainage. Those patients were excluded from this study who were found with primary repair. Results: Total patients included in this study were 50. The percentage of males and females was 56% and 44% respectively with a male to female ratio of (1.27:1). The mean age of patients was (24.75 ± 10) years. All these patients were having secondary peritonitis due to typhoid excavation (with a history of systemic toxicity). These patients need ileostomy with or without gut resection. For group A, mean postoperative hospital stay was (9.5 ± 0.5) while for group B it was (6.5 ± 0.51) was mean hospital stay. Drainage was carried out in 24 patients; whereas, 26 patients were without drainage (Group A & B). Comparative to three patients of Group – B wound infection was developed by five patients of Group – A. Comparative to Group – B, patients of Group – A who got burst abdomen, intra-abdominal collection and chest infection were one, two and one respectively. Conclusion: In patients in whom drain was inserted, the incidence of complexities such as intraabdominal collection, pulmonary infections and burst abdomen was high. Still there observed no advantage of drainage of peritoneal cavity in secondary advanced peritonitis. Keywords: Resection, Drainage, Postoperative, Ileostomy, Burst Abdomen, Infection and Peritoneal.

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