A Comparative Prospective Study between the Outcome of Primary Repair versus Loop Ileostomy in cases of Ileal Perforation

Introduction. Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent. It constitutes the fifth common cause of abdominal emergencies due to high incidence of typhoid because of poor hygeine in these regions.  Methods. One hundred and sixty proven cases of ileal perforation patients admitted to Surgical Emergency were taken up for emergency surgery.  The surgical management was done as primary repair (group A) and loop ileostomy (group B). Results. An increased rate of postoperative complications was seen in group A when compared with group B patients.  Conclusion. In cases of ileal perforation temporary defunctioning loop ileostomy plays an important role. We recommend that defunctioning ileostomy should be preferred over primary repair. Though temporarily quality of life is hampered with defunctioning ileostomy but this procedure is lifesaving.