Early Postoperative Complications and Surgical Anatomy After Ileostomy Reversal Among the Population of Khyber Pakhtunkhwa, Pakistan.

Asadullah Khan,Muhammad Jehangir Khan,Maaz Rehman,Sobia Haris,Muhammad Haris,Abdullah Abdullah

doi:10.7759/cureus.19660

Abstract

ObjectiveTo assess the frequency of early postoperative complications and surgical anatomy after ileostomy reversal among the population of Khyber Pakhtunkhwa, Pakistan.Materials and methodsIn the current study, a total of 241 patients were assessed. Sufficient urine output, usual serum electrolytes and urea were indicators of a sufficient recovery. All patients remained in the ward for a minimum of seven days after surgery to detect early postoperative complications like surgical site infection (SSI), wound dehiscence, small bowel obstruction, and anastomotic leak.ResultsIn the present study, 113 (47%) were in age 18-40 years, while 128 (53%) patients were in age 41-60 years. The mean age was 40±10.05. One hundred twenty-three (51%) were male, and 118 (49%) patients were female. One hundred seventy-one (71%) had ileostomy closure in ≤3 months, 70 (29%) had ileostomy closure in >3 months. The mean duration of closure was 03±3.70 months. One hundred and six (44%) had enteric perforation, 87 (36%) had blunt trauma, 48 (20%) had tuberculous abdomen. Moreover, the frequency of early complications of ileostomy closure was analyzed as 19 (8%) had surgical site infection, 14 (6%) patients had wound dehiscence, 12 (5%) patients had small bowel obstruction, and three (1%) patients had anastomotic leakage.ConclusionsOur study concluded that early postoperative complications and surgical anatomy after ileostomy reversal among the population of Khyber Pakhtunkhwa, Pakistan were surgical site infection (8%), wound dehiscence (6%), small bowel obstruction (5%), and anastomotic leak was (1%).

Highlights

113 (47%) were in age 18-40 years, while 128 (53%) patients were in age 41-60 years
Our study concluded that early postoperative complications and surgical anatomy after ileostomy reversal among the population of Khyber Pakhtunkhwa, Pakistan were surgical site infection (8%), wound dehiscence
Colostomy reversal is performed when the disease condition for which it was created has resolved, and the patient has healthy bowel ends with no distal blockage [1]

Summary

Introduction

Colostomy reversal is performed when the disease condition for which it was created has resolved, and the patient has healthy bowel ends with no distal blockage [1]. Colostomy reversal is a frequent surgical technique with little mortality and considerable morbidity [2,3]. The surgical result for colostomy reversal in terms of mortality and morbidity varies by location, based on a variety of factors such as demographic characteristics, patient-to-patient variance, and the degree of healthcare delivery [4]. Even after presenting data on Western populations and a few Asian specimens, the consequence of colostomy reversal in our people cannot be projected accurately based on those research findings. A loop ileostomy is a surgically created intestinal stoma that is used for temporary fecal diversion. The normal intestinal path is re-established after the loop ileostomy is closed, which is usually after 90 days [5]

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Results

Conclusion