Dr Hafiz Muhammad Faraz Hassan, Dr Muhammad Mashhood Ahmad Shad
Objective: Objective: Surgical problem that needs to urgent care is gastrointestinal perforation. In Egyptian era gastrointestinal perforations were found documented. Perforation was documented when peritoneal contamination occurs due to intraluminal contents and extends through the full thickness of hollow viscous. The aim of the study was to compare the outcomes primary repair and loop ileostomy in ileal perforated patients. Study Design: Randomized controlled trial study. Place and Duration of Study: This study was conducted at the General Surgery department of Mayo Hospital Lahore. Study was completed in one-year duration from June 2019 to June 2020. Materials and Methods: Fifty proven patients of ileal perforation were enrolled in study and divided into two (group A, B) groups by lottery method. Group A managed with primary repair and B with loop ileostomy. SPSS version 23 was used for data analysis. Results: Clinical presentations such as pain abdomen, vomiting, fever, constipation, abdomen distension and trauma of Group A was noted as n=5 (20%), n=6 (24%), n=4 (16%), n=3 (12%), n=5 (20%) and n=2 (8%), respectively. While, clinical presentations such as pain abdomen, vomiting, fever, obstruction, abdomen distension and trauma of Group B was noted as n=4 (16%), n=4 (16%), n=8 (32%), n=2 (8%), n=4 (16%) and n=3 (12%), respectively. The difference was statistically insignificant. Conclusion: Loop ileostomy is a better choice in management of ileal perforation as compare to primary repair. It is associated with less postoperative complications and this also helpful in reducing mortality in perforated cases. Key Words: ileal perforation, Primary repair, Loop ileostomy, surgical management.