DOI: 10.36347/sjams.2023.v11i05.008

Pages: 857-861

Background: Every gastrointestinal (GI) surgeon faces significant challenges when treating ileal perforation. The most common causes of ileal perforations are typhoid ulcers and trauma. The patient with an ileal perforation presents a number of challenges to the gastrointestinal surgeon, and understanding the relevant anatomy, physiology, and metabolism is required to address these challenges effectively. Aim of the Study: This study compared the results of ileal perforation management procedures including primary repair after trimming of the perforation margin and wedge excision of the perforated site. Methods: Between January 2021 and June 2022, this prospective observational study was carried out at 250 Bedded General Hospital, Naogaon & Clinic in Naogaon, Bangladesh. This study included 44 patients in total as study participants. According to how many patients there were, the total number of participants was split into two equal groups. 22 patients in Group I underwent wedge excision of the perforation site, and another 22 patients in Group II underwent perforation margin trimming followed by a primary repair procedure. All participants provided proper written consent prior to the collection of data. Patients between the ages of 15 and 70 were included in this study in accordance with the inclusion criteria. The data was gathered using a predesigned questionnaire. Results: All patients underwent primary repair after either wedge excision of the perforated site (Group I) or trimming of the perforation margin (Group II). The rates of fever, abdominal distention, constipation, and vomiting were higher in both patient groups. Both groups of patients experienced similar levels of abdominal pain, fever, abdominal distension, constipation, and vomiting. In groups I and II, post-operative fever was noted in 14 (63.5%) and 18 (81.8%) patients, respectively. The difference was statistically significant (p<0.05) in the chi square test. There were 13 cases of wound ........