IS EARLY CLOSURE OF STOMA WARRANTED IN THE MANAGEMENT OF TEMPORARY LOOP ILEOSTOMY?

Objective:operative complication.to assess the outcome of closure of temporary loop ileostomies by comparing frequency of post methodology:between jan 2005 and dec 2009. all patients who were primarily operated and ended up with temporaryloop ileostomy were admitted via the out-patient department. consecutively allocated into group a whosestomae were closed at 8 weeks and group b whose stomae closed at 4 weeks. postoperative complicationsincluding wound infection, anastamotic leak, dehiscence etc. were recorded and statistical analysis doneusing version 13.0 spss for windows.this was an experimental study conducted at the surgical a unit of lady reading hospital results:(p=0.869). the mean age in both groups was similar 33.6 years and 32.7 years respectively. anastamoticleak rate and wound dehiscence was lower in early closure group but p value was insignificant. thefrequency of wound infection was higher in the early stoma closure group (p=0.001). the mean hospitalstay was similar.group a included 155 patients and group b 156 patient with male predominance in both groups conclusion:of temporary loop stoma is similar to delayed closure. thus delayed closure of stomae should beabandoned.apart from wound infection the frequency of complication following early closure (4 weeks)