Surgical Audit of Patients with Ileal Perforations Requiring
Ileostomy in a Tertiary Care Hospital in India
Table 1
Criteria for deciding the type of operative procedure.
Operative procedure
Criteria
Primary closure
Patient presenting within 24 hrs of perforation, being hemodynamically stable, having minimal or no resuscitation required preoperatively, localized peritonitis, mild enteritis, single perforation, and no other areas of impending perforation
Resection and anastomosis
Patient presenting within 24 hrs of perforation, being hemodynamically stable, having minimal or no resuscitation required preoperatively, localized peritonitis, mild to moderate enteritis, multiple perforations, and areas of impending perforation
Ileostomy
Patient presenting > 24 hrs after perforation, being hemodynamically unstable, having resuscitation required preoperatively, generalized peritonitis, severe enteritis, multiple perforations, and areas of impending perforation