A Prospective Study of Hidden Ileostomy in Laparotomy To Prevent Anastomotic or Perforation Leak

Abstract Background: Whenever there is very less possibility of anastomotic leak after intestinal resections and anastomosis or after perforation repair and the surgeon on the table doesn't feel the absolute need of a conventional ileostomy, the hidden ileostomy is a good alternative option. Patients and methods: 30 patients presented to our department of General surgery, underwent this technique "Hidden Ileostomy" for different reasons. The clinical case scenarios, lab findings, risk factors with outcome and the follow-up data, are studied and presented Results: The mean ± SD operative time is 136.6 ± 14.7minutes. The HI was removed after an average of 14th POD. Only 2 out of 30 cases needed to exteriorization of HI in view of anastomotic leak. Thus, 93.3% of the patients were saved from formal ileostomy Conclusion: Present study suggests that HI can be used alternatively to conventional ileostomy whenever there is a minimal risk of AL and in absence of post-operative AL, patients can be saved from conventional ileostomy.