Surgical Audit of Emergency Ileostomies

Background: To evaluate the causes and managementof emergency ileostomiesMethods: In this prospective descriptive study allpatients requiring emergency ileostomy were included.Initially patients were resuscitated by administeringintravenous fluids and electrolyte replacement. Allpatients were operated in emergency under generalanesthesia. The preoperative indication of ileostomy wasnoted in all patients. Emergency Laparotomies whereprimary repair was performed were excluded from thestudy.Results: Indications for emergency ileostomy creationwere the conditions requiring small bowel or proximalcolon resection, in which the integrity of a primaryanastomosis would be compromised. This was due to adiffuse bowel injury (long-standing peritonitis orobstruction, radiation, Crohn's disease) creating friabletissues that could not hold a suture. Mean age of thepatients was 36+12.59 years with a range of 12-61 years.Most common indication for ileostomy was typhoidintestinal perforation followed by tuberculosis ofintestine. Skin excoriation was the most frequentcomplication noted in ileostomy patients.Conclusion: Infective disease is the most commonindication for emergency ileostom