title: Prospective analysis of indications and early complications of emergency temporary loop ileostomies for perforation peritonitis.
abstract: BACKGROUND
  To determine the indications, nature, and rate of early complications of temporary loop ileostomy created in emergency for benign diseases, their management, and to find out the associated risk factors.
  
  
  METHODS
  A total of 630 patients undergoing temporary loop ileostomy for benign diseases were studied prospectively over a period of 6 years. Stoma-related early complications occurring within 6-8 weeks were analyzed. Only emergency cases were included in this study. Descriptive statistics were used to summarize the data and statistical significance was evaluated by applying the Pearson's chi-square test.
  
  
  RESULTS
  Typhoid perforation (n=402) was the most commonpathology, followed by tuberculosis (n=106); trauma (n=81); and intestinal obstruction with gangrenous bowel (n=41). 299 patients had no stoma-related complications. Skin excoriation was the most commonstoma-related complication. Age more than 50 years; shock at presentation; delay in presentation; delay in surgery; presence of comorbidities; and surgery done out of working hours, were associated with increased complications.
  
  
  CONCLUSIONS
  Temporary loop ileostomy for perforation peritonitis due to benign systemic diseases like typhoid fever and tuberculosis confers a very high morbidity.
authors.affiliation: Department of Surgery, Lady Hardinge Medical College and Associated Dr RML Hospital, New Delhi, India.
authors.forename: Poras
authors.initials: P
authors.lastname: Chaudhary
authors.affiliation: Department of Surgery, Lady Hardinge Medical College and Associated Dr RML Hospital, New Delhi, India.
authors.forename: Ishaq
authors.initials: I
authors.lastname: Nabi
authors.affiliation: Department of Surgery, Lady Hardinge Medical College and Associated Dr RML Hospital, New Delhi, India.
authors.forename: Gyan
authors.initials: G
authors.lastname: Ranjan
authors.affiliation: Department of Surgery, Lady Hardinge Medical College and Associated Dr RML Hospital, New Delhi, India.
authors.forename: Alok Kumar
authors.initials: AK
authors.lastname: Tiwari
authors.affiliation: Department of Surgery, Lady Hardinge Medical College and Associated Dr RML Hospital, New Delhi, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Surgery, Lady Hardinge Medical College and Associated Dr RML Hospital, New Delhi, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Kapur
authors.affiliation: Department of Surgery, Lady Hardinge Medical College and Associated Dr RML Hospital, New Delhi, India.
authors.forename: Mohinder P
authors.initials: MP
authors.lastname: Arora
keywords: Keywords Perforation peritonitis; early complications; indications; temporary loop ileostomy