ASSESSMENT OF THE SURGICAL PROFILE AMONG PATIENTS OF ILEAL PERFORATION

Background: In various researches it was reported that perforations of gastrointestinal tract had been surgical emergencies. Some studies also reported that the proof of gastrointestinal tract perforations in ancient mummies. Gastrointestinal tract perforation occurs when a pathology of any specific disease involves the entire depth of the gastrointestinal tract Material & Methods: Patients who were diagnosed as perforation and peritonitis on the basis of laboratory diagnosis and clinical examination were enrolled by simple random sampling. Clearance from Institutional Ethics Committee was taken before start of study. Written informed consent was taken from each study participant. Results:  In the present study, out of total study participants abdominal pain was the most common presenting symptom present in patients which was followed by fever, abdominal distension and vomiting. On the basis of time of perforation, 4% cases presented within 12 hour, between 12 and 24 hour was reported among in 50% cases, in the rage of 24 and 48 hour seen in 24% patients, in the range of 48 and 72 hour reported in 12% cases, in range of 72 and 96 hour reported in 8% cases, and in range of 96 and 120 hour reported in 2% case. Near about all patients were operated in the range of 12 hours of hospitalization. Conclusion: The most common presenting symptoms present among patients were abdominal pain, abdominal distension, vomiting, fever and obstipation. We found that majority of cases had circular perforation of typhoid at antimesenteric border which was followed by tubercular elliptical perforation on the antimesenteric border and traumatic type perforation. Key words: Ileal perforation. primary closure, loop ileostomy