Pervez Iqbal, Muhammad Saddique, Tufail Ahmed Baloch.
Closure of Ileostomy - a study of 74 cases.
Pak J Surg Jan ;24(2):98-101.

Objective: To determine the outcome of ileostomy reversal operations. Design & Duration: Prospective case series from January 2001 to December 2005. Setting: Surgical Units I and IV of Civil Hospital, and Surgical Unit VIII of Lyari General Hospital, Karachi. Patients: Seventy four patients admitted for closure of ileostomy were included in the study. Methodology: Detailed history, physical examination and relevant investigations were carried out. Patients were operated by a senior surgeon, and two layered sutured anastomosis was performed. Patients were closely monitored after surgery for complications. Results: Typhoid and tubercular perforation were the major contributors for ileostomy construction. After closure of ileostomy wound infection was the commonest complication noted in 10(13.5%) cases, bowel obstruction occurred in 4(8.1%) cases, incisional hernia in 2(2.6%) and anastomotic leak in one case(1.3%). No mortality occurred in the study. Conclusion: Defunctioning ileostomy is a common life saving operation, and its reversal is a safe procedure with little morbidity and no mortality.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com