Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The ileostomy is a type of stoma created to divert the flow of intestinal content away from a distal anastomosis. It de‐functions an anastomosis and limits the clinical impact of an anastomotic leak, which is one of the most feared complications in colorectal surgery. The aim of this study is to review the relevant literature attempting to compare early and late closure of ileostomy in terms of morbidity, mortality, and quality of life. This is an Observational prospective study. It’s conducted from March 2020 to September 2021 at Burdwan Medical College and Hospital. About 80 patients were included in this study. We can see 40 out of 80 cases were discharged before 7 days (50%). 24 of them belonged to early group and 16 belonged to late group. Early closure group had 3 patients (7.5%) and late closure group had 8 patients (20%) who were discharged after 2 weeks. CHI‐SQUARE TEST shows CHI level of 3.93 which corresponds to p‐value of 0.15 which is more than 0.05 so it is not significant. We conclude that, early closure of stoma (5‐7weeks) had no adverse effects on functional result. Early closure of stoma presented with lower percentage of major and minor complications among the patients. Length of hospital stay is lower in early closure group according to our study thus decreasing the social and economic burden on the patient. But the current data available could not prove any significant difference between the two groups based on the above aspect except for wound infection which is significantly higher in late group. No sufficient data is still available to draw firm conclusions on the matter.
How to cite this article:
Debanjan Mukherjee, Abdul Kaiyum Khan and Sandip Kumar Ghosh. A Comparative Study on Mortality and Morbidity Between Early and Late Ileostomy Closure.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.434.437
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.434.437