Value of ileo-ascending colic end to side anastomosis after ileocaecal resection.

Objective: To assess the outcome of end to side Ileo-Ascending Colic anastomosis in patients undergoing emergency and elective Ileo-Caecal resection non-malignant cases. Study Design: Cross Sectional Descriptive study. Setting: Department Surgery at Fauji Foundation Hospital Rawalpindi. Period: January, 2018 December, 2020. Material & Methods: A Total 40 with ileo-caecal benign pathology presenting generalized peritonitis intestinal obstruction were studied. All underwent laparotomy either or as planned procedure. After dealing primary an ileo-ascending colic was performed all Cases disease that required ileostomy ileo-transverse excluded from Anastomosis conventional two layers vicryl 3/0. Variables studied were; indication for surgery, per-operative findings post-operative complications like anastomotic leakage, surgical site infection, burst abdomen systemic sepsis. Data analyzed on SPSS (v 26). Results: There 30 females (75%) 10 male (25%). Age range 18-72 years mean age 43.62 years. Common clinical surgery 11 cases (27.5%) followed by (25%) trauma 9 (22.5%). Post-operative diagnosis most tuberculosis 14 (35%) region Anastomotic leakage occurred 1 patient (2.5%) who second look re-anastomosis. Surgical infection 3 (7.5%). one fatality due uncontrolled Conclusion: An ileo- ascending is a safe reliable procedure after resection. It saves ileostomy, preserves colonic length avoids formation blind loop.