Outcome of Wedge Excision of Perforation Site in the Management of Ileal Perforation

Résumé

Background: In tropical areas, surgical emergenciesinvolving perforation of the terminal ileum are common.This region is the sixth most common location for abdominalcrises worldwide due to the high incidence of TB and entericfever. Ileal perforation can occur in tropical countries likeBangladesh for a variety of reasons. Objective: The study'sobjective was to evaluate the outcomes of a wedge excisionprocedure used in the therapy of ileal perforations.Materials and Methods: From June to December 2018, thisobservational study was conducted in the surgical divisionof the Shaheed Ziaur Rahman Medical College Hospital inBogra, Bangladesh. A set of inclusion and exclusion criteriawas used to choose 56 individuals with small bowel illnesswho were having small intestinal surgery. Results: 56 ilealperforation patients aged 15 to 67 were included in theresearch. After wedge site excision, primary repair was administered to all patients. Amongthe patients, stomach discomfort, fever, abdominal distention, constipation, and vomiting weremore prevalent. In histology, typhoid, TB, nonspecific ulcer, and chronic nonspecific ulcerwere identified. Only 10.8% of deaths were reported, with a mean hospital stay of 14.2 7.2days. Following wedge excision and initial repair, all patients saw improvement. Conclusion:Wedge excision, followed by primary repair, is sometimes the most effective method for treatingileal perforation.