Comparison of early versus delayed temporary ileostomy reversal in colorectal anastomosis

Authors

  • Rooh-Ul-Ain, Rizwan Ahmed Khan, Fareeha Khaliq Khan, Maaz Ul Hassan, Itrat Hussain Kazmi, Awais Bhutta, Aniqa Ejaz

DOI:

https://doi.org/10.53350/pjmhs22166176

Keywords:

Ileostomy reversal, colorectal anastomosis, abdominal pain, loop ileostomy

Abstract

Aim: To compare the outcome of early versus delayed temporary ileostomy reversal in colorectal anastomosis.

Design: Randomized control clinical trials

Place & period of the study: Surgical Unit 1 of the Services Hospital in Lahore from December 2017 to June 2018.

Methods: A total of 176 patients, undergoing distal colorectal resections were divided randomly into group A; ileostomy reversal in less than 2 weeks after primary surgery and group B; ileostomy reversal after 8 weeks of primary surgery was followed for 4 weeks to access wound infection, abdominal pain, anastomotic leak, soreness and gut material discharge through the wound.

Results: The average age of patients was 40.48+13.13years [range 18-60] in group A. In group B, the average age of patients was 41.92+14.08 [range 18 – 60]. Post-operative wound infection occurred in group A were 12 (13.63%) and in group B 8 (9.09%) while anastomotic leakage observed in 7 (8%) of group A patients and 4 (4.5%) of group B patients. Calculated p – value was 0.350 and hence not significant (p> 0.05).

Conclusion: Early closing of loop de-functioning ileostomy in patients receiving distal colorectal resection is feasible and produces comparable results to delayed closure.

Downloads

How to Cite

Rooh-Ul-Ain, Rizwan Ahmed Khan, Fareeha Khaliq Khan, Maaz Ul Hassan, Itrat Hussain Kazmi, Awais Bhutta, Aniqa Ejaz. (2022). Comparison of early versus delayed temporary ileostomy reversal in colorectal anastomosis. Pakistan Journal of Medical & Health Sciences, 16(06), 176. https://doi.org/10.53350/pjmhs22166176

Issue

Vol. 16 No. 06 (2022): Pakistan Journal of Medical & Health Sciences

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.