Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Ileal perforations are a critical surgical emergency associated with significant morbidity and mortality. Early diagnosis and prompt surgical intervention are crucial to improving outcomes. This study aims to evaluate the etiological factors, surgical management, and outcomes in patients diagnosed with ileal perforation. A retrospective analysis of patients diagnosed with ileal perforation over a period of 3 years was conducted at Prakash institute of medical sciences and research centre, Uran‐Islampur. Data were collected on demographic characteristics, clinical presentation, surgical procedures employed, post‐operative complications, and outcomes. Results: A total of 300 patients were included in the study. The most common cause of ileal perforation was found to be Typhoid Fever, accounting for 110 cases (40%). Resection and Anastomosis was the most frequently employed surgical management, seen in 180 cases (48%). The overall morbidity rate was 38.5%, with postoperative complications including wound infection, sepsis, and intraabdominal abscess. The mortality rate was 5.4%. Factors associated with increased morbidity and mortality included regional demographics such as urban vs rural areas and age distinctions, with those over 40 years of age having a higher representation. Ileal perforation remains a significant surgical challenge. Early diagnosis and intervention, coupled with appropriate surgical techniques, are key to improving outcomes. Further studies are needed to refine the management protocols to reduce morbidity and mortality associated with this condition.
How to cite this article:
Lavekar Shrikant Balbhimrao and Sadanand Joshi. A Clinical Study of Surgical Management and Outcome of Ileal Perforation.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.839.844
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.839.844