A Comprehensive study on Ileal Perforation

Arunan, T (2013) A Comprehensive study on Ileal Perforation. Masters thesis, K.A.P. Viswanatham Government Medical College, Tiruchirappalli.


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BACKGROUND & OBJECTIVES: Ileal perforation is one of the commonest occurrence in our hospital setup, with the majority of cases having an etiology of trauma. The aim is to study the various causes of ileal perforation and its presentation and various surgical procedure and its complications and factors affecting the outcome. METHODS: Seventy cases of ileal perforation were included in this study from the period between October 2010 and October 2012. Factors were tabulated and statistically analyzed to study their contribution. RESULTS: Trauma was the most common cause of ileal perforation in this study followed by non-specific perforations. Patients presented primarily in the third and fourth decades of life with a male preponderance. Many patients had air under diaphragm in X-rays and underwent surgery within 24hrs of onset . 70% of patients underwent 2 layer closure with complication rate of 67% and mortality rate of 5.7%. CONCLUSION: We found trauma as the most common etiology for ileal perforation. Incidence of typhoid induced perforations seems to have significantly reduced. Fecal peritonitis, age , shock, lag period were found to be significant in contributing to mortality and morbidity.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Ileal Perforation ; Comprehensive study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 03 May 2018 04:31
Last Modified: 03 May 2018 11:36
URI: http://repository-tnmgrmu.ac.in/id/eprint/7409

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