Comparison Study of Ileostomy Reversal by Resection and Anastomosis or by Primary Closure

Abstract

Background: Ileostomy is made routinely in emergency surgery. Typhoid perforation is an important cause of ileostomy, followed by trauma and malignancy. Ileostomy has to be reversed after about 3 months if indicated.

Objective: To evaluate the results of ileostomy reversal by primary closure and by resection and anastomosis in the same group of patients.

Study Design: Prospective comparative study.

Place and Duration of Study: Surgical Department of Nishtar Hospital Multan, from June 2023 to June 2024.

Methodology: Patients were divided into two groups. Group A underwent reversal by primary closure of the ileostomy defect. Group B underwent ileostomy closure by resection and anastomosis of the defect.

Results: Thirty patients were placed in each group. Patients in Group A, in whom closure was done by the primary closure technique, had fewer complications and a shorter hospital stay compared with closure by resection and anastomosis.

Conclusion: Ileostomy closure by primary closure was associated with fewer complications and earlier recovery from surgery compared with the resection and anastomosis technique.