Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Ileal perforation is seen mostly in tropical countries, the commonest cause being typhoid fever. In western countries the causes are malignancy, trauma and mechanical aetiology. Better antibiotics, aggressive surgery better preoperative and postoperative care contributed to the improvement in patient outcome in the present days. But still cases of ileal perforation cause a significant morbidity and mortality that persists despite the significant changes in health care over the years. Aim of the study was to identify the Incidence, aetiology, mode of presentation, management and outcome in ileal perforations. This was a Prospective observational study done in at KIMS, Amalapuram and a Tertiary Care Hospital in the Department of General Surgery over a period of two years. Typhoid fever and traumatic aetiology were the most common cause of Ileal perforation, followed by TB. Male gender and reproductive age group were commonly affected. Mortality in ileal perforations, especially typhoid was high and traumatic perforations have a good outcome. The type of surgical procedure did not influence outcome, either morbidity or mortality. Lag period significantly influenced outcome. Morbidity was significantly influenced by age, nutrition status, presentation and lag period.
How to cite this article:
Taraka Krishna Nulukurthi, Vamshi Krishna Gorle and Pavan Kumar Vutla. A Clinical Study on Various Surgical Management of Ileal Perforation.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.276.278
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.276.278