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Complications Following Early and Delayed Ileostomy Closure: An Interventional Study |
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Published: July 1, 2022 | DOI: https://doi.org/10.7860/IJARS/2022/48843.2797 |
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Uttam Mondal, Arkadeb Kar, Sandip Majumdar 1. Assistant Professor, Department of General Surgery, Medical College and Hospital, Kolkata, West Bengal, India. 2. Senior Resident, Department of Community Medicine, Malda Medical College and Hospital, Malda, West Bengal, India. 3. Professor, Department of General Surgery, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India. |
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Correspondence Address : Uttam Mondal, Arkadeb Kar, Sandip Majumdar, Uttam Mondal, 13/4, Ramkrishna Marg, Tegharia, P.S. Hatiara, P.S. Baguiati, Kolkata, West Bengal, India. E-mail: druttammondal@gmail.com |
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| ABSTRACT |  | |||||
: Introduction: Ileostomy is used frequently now-a-days for various surgical conditions. Patients with ileostomies face several problems; physiological, psychological and social problems. Moreover, a stoma can also lead to different complications. Surgeries for reversal of stomas can also lead to different complications, leading to increased morbidity and mortality. Aim: To find significant differences, if any, in morbidity and mortality between patients of early and delayed ileostomy closure. Materials and Methods: In this interventional study, 100 patients were recruited into two groups of early closure and delayed closure, 40 in early ileostomy closure group and 60 in the delayed ileostomy closure group. Their baseline characteristics were compared to find out the comparability between the two groups. The patients were followed-up over a period of time to find out complications such as skin excoriation, wound dehiscence, wound infection, anastomotic leakage, faecal fistula etc. Student’s t-test was applied for continuous variables and for discrete variables, chi-square test was applied to find out whether there was any statistically significant difference between the two groups. Results: Out of total 40 patients, in the early closure group 5 (12.5%) of patients closure group developed wound excoriation, whereas 10 (25%) developed wound infection and 10% of the patients in the early closure group developed incisional hernia. Skin excoriation amongst delayed closure group was noticed in 21 (35%), wound infection in 6 (10%) and Incisional hernia in 1 patient (1.7%). Skin excoriation was significantly less among early closure group with an OR of 0.27 (0.09-0.78). Duration of stay in the hospital was significantly less among the early closure group (24.92±5.12) days compared to the delayed closure group (41.43±12.29) days (p<0.001). One patient expired due to sepsis after on 13th postoperative day, who was in the delayed closure group. Conclusion: Skin excoriation was significantly less amongst the patients of the early ileostomy group. Hence, early ileostomy closure can reduce the complications of ileostomy and the duration of carrying the ileostomy. | ||||||
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| Keywords : Wound excoriation, Infection, Incisional hernia, Morbidity, Postoperative complications, Wound infection | ||||||
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DOI and Others :
DOI: 10.7860/IJARS/2022/48843.2797
Date of Submission: Feb 03, 2021 Date of Peer Review: May 01, 2021 Date of Acceptance: Dec 01, 2021 Date of Publishing: Jul 01, 2022 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval Obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. NA PLAGIARISM CHECKING METH |
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Original article / research
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