A COMPARATIVE STUDY OF PRIMARY REPAIR VERSUS RESECTION AND ANASTOMOSIS IN JEJUNOILEAL PERFORATIONS

Abstract

INTRODUCTION : Ileo-jejunal perforation is the fifth common cause of acute abdomen presenting as emergency(1). Despite availability of modern diagnostic facilities and advances in treatment regimes, the abrupt onset and rapid downhill course of disease has a high mortality rate.(1,2) AIMS AND OBJECTIVES: To contribute in the betterment of knowledge in the management of ileo-jejunal perforations and to compare and analyse the primary repair (vs) resection and anastomosis in ileojejunal perforation in terms of post -operative morbidity and mortality. METHOD: This was a prospective observational study conducted in JSS HOSPITAL ,Mysuru .A total of thirty patients admitted with ileojejunal perforations during a period of one and half years undergoing either primary closure or resection and anastomosis were taken for the study . RESULTS:Trauma ( Blunt trauma ) was the most common cause of ileo jejunal perforation in this observational study followed by enteric perforations. Most common complication following surgery was identified to be wound infection/ dehiscence(27.6%) followed by respiratory complications(13.3%). CONCLUSION:Post operative complications and duration of hospital stay were less with primary closure group and hence primary closure should always be considered as first option whenever conditions are apt .