DOI: 10.36347/sasjs

Pages: 1-10

Although perforation is a worldwide problem, the incidence is much higher in developing countries including India. The move of scientific community towards the management of bowel perforation has changed from a conservative approach in earlier parts of this century to surgery. Despite the availability of modern diagnostic facilities and advances in treatment regimes, this condition is still associated with high morbidity and mortality. Various operative procedures have been advocated by different authors, such as simple repair of perforation, repair of perforation with ileo-transverse colostomy, ileostomy, exteriorization, single layer repair with an omental patch, trimming of ulcer edge & closure, wedge excision & anastamosis and segmental resection and anastamosis. Aim of this study was to evaluate the efficacy of tube ileostomy drainage after primary repair/resection anastomosis in small bowel perforation. A total of 60 patients were evaluated as per the criteria defined and underwent primary closure, resection & anastamosis and T-Tube ileostomy after primary repair/resection anastomosis. After this study it can be said that proximal T-TUBE diversion may be an alternative to open ileostomy in patients with poor general condition at the time of presentation to the hospital where simple primary repair /resection and anastamosis seems to be risky. It seems to be a better procedure than temporary ileostomy due to its cost effectiveness, absence of complications related to ileostomy and the need for second surgery for ileostomy closure