AN AUDIT OF THE SURGICAL RESULTS OF THE ILEOSTOMY CLOSURE AT THE SURGICAL DEPARTMENT OF TERTIARY CARE HOSPITAL

Objective: The use of an ileostomy is an effective method of protecting pelvic anastomosis. It is also used as a means of damage control in neglected peritonitis. A second operation is required to close the stoma with possible complications. The percentage of complications associated with ileostomy closure has been reported to be associated with the patient's primary pathology and general condition. This study aims to determine the outcomes of ileostomy closure. Place and Duration: In the Surgical department of Sir Ganga Ram Hospital, Lahore for one year duration from January 2019 to January 2020. Study design: A retrospective study. Methodology: The goal of our research is to identify risk factors associated with ileostomy removal in surgical practice. To determine the risk factors associated with complications of ileostomy closure, we examined a group of 66 patients who had undergone closure of the ileostomy. Planned procedures were considered. All complications related to the stoma have been registered. Results: The overall complication rate was 17%. After discharge, complications developed in 17 patients, wound infection in 10 patients, anastomotic leakage in 2 patients, intestinal obstruction in 2 patients and paralytic intestinal obstruction in 3 patients. The transition to laparotomy occurred in 7-8% due to difficulties in the assessment of 5% of patients, all patients were conservatively treated and no surgery was required, but they had to remain in the hospital for a long time. Conclusion: withdrawal ileostomy was found to be associated with a low rate of serious complications; Ileostomies should be done as needed. Key words: ileostomy closure, Stoma Anastomotic Leak