Comparison of Outcomes between Primary Repair and Ileostomy in Children with Typhoid Perforation
Masood Shah, Muhammad Jamil, Asif Karim, Sajid Shamim, Nabi Bux Napar, Muhammad Daraz Khan
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ABSTRACT
Aim: To compare the outcomes in term of
complications and mortality between primary repair and ileostomy in children
presented with typhoid perforation.
Study design: Randomized
comparative/observational.
Place and
duration of study: Sohail
Medical Centre Timergara from 1st January 2019 to 31st
December 2019.
Methods: Seventy four patients
of both genders with typhoid perforation were included in this study. Patients
ages were up to 12 years. All the patients were categorized into two equal groups.
Each group contains 37 patients. Group I received primary repair and group II
consist received ileostomy. Postoperative outcomes such as complications and
mortality were comparing between both groups.
Results: 48 (64.86%)were males
and 26 (35.14%) were females with mean age 8.76+2.58 years. Group II had
significantly higher complications 20 (54.05%) as compared to group I 8
(21.62%) with p-value <0.05. Mortality rate was high in Group 1 13.51%as
compared to Group II 8.11%.
Conclusion: Primary repair is safe
and effective in term of postoperative complications and mortality as compared
to ileostomy in patients with typhoid perforation.
Keywords: Typhoid Perforation, Primary Repair,
Iliostomy, Complications, Mortality