Journal of AdvancedMedical and Dental Sciences Research

Background: An intestinal stoma is a purposeful anastomosis between a segment of the gastrointestinal tract and the skin of the anterior abdominal wall. Hence this study was conducted to compare early and conventional ileostomy closure following bowel loop surgery in enteric perforation. Materials & methods: The present study was conducted to compare early and conventional ileostomy closure following bowel loop surgery in enteric perforation. A total of 20 subjects were enrolled. Subjects were randomly divided into two study groups: Early ileostomy closure: This group comprises of those in whom ileostomy closure was done between 4-6 weeks following index surgery. Conventional ileostomy closure: This group comprises of those in whom the closure of temporary ileostomy was carried out as per unit protocol in our hospital after 8-12 weeks. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis using SPSS software. Results: While analyzing statistically, it was seen that mean preoperative stoma bag among patients of group B was significantly higher in comparison to patients of group A. Mean operative time among the patients of group A and group B was 61.5 minutes and 68.5 minutes respectively. Non-significant results were obtained while comparing the mean operative time among patients of group A and group B. Among patients of group A, bleeding and intra-abdominal collection were seen in 10 percent of the patients each. Among patients of group B, bleeding and intra-abdominal collection were seen in 30 percent of the patients and 20 percent of the patients respectively. Mean time to feeding postoperatively among the patients of group A and group B was 4.6 days and 5.1 days respectively. Non-significant results were obtained while comparing the mean time to feeding postoperatively. Conclusion: The present study clearly highlights the potential safety of early closure of ileostomy without any added morbidity or mortality, and is a feasible alternative to a more conventional delayed approach, provided careful selection of patients is done.