Compare Outcomes of Primary Repair and Ileostomy in Patients Presented with Typhoid Perforation
Khadijah Ahmad Cheema, Mumtaz Ahmed Qureshi, Sadia asmat Burki, Jehangir Khan, Farin Zada, Abid Hussain
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ABSTRACT
Objective:The aim of this study is to compare the
outcomes between primary repair and ileostomy inpaediatric patients presented
with typhoid perforation.
Study Design:Comparative study
Place and Duration:The study was conducted at pediatric
surgery department of Children Hospital and Institute of Child Health, Lahore
andBacha Khan Medical Complex, Swabifor duration of six months from June 2020
to December 2020.
Methods: Total 100 patients of both genders were
presented in this study. Patients were aged between 3-18 years. Detailed
demographics of patients including age, sex and body mass index were recorded
after taking informed written consent. Patients who had typhoid perforation
were enrolled. Patients were equally divided into two groups. Group I had 50
patients and received primary repair and group II received ileostomy with 50
patients. Post-operative outcomes in terms of complications and mortality were
assessed and compared among both groups. Complete data was analyzed by SPSS
26.0 version.
Results:There were 72 males (36 in each group) and 28
females (14 in each group) in this study. Mean age of the patients were
11.14±7.44 years in group I and in group II mean age was 10.17±9.68 years. In
group I 35 (70%) cases had low socio-economic status while in group II 33 (66%)
cases had low socio-economic status. 60 patients were from rural areas (30 in
each group). Wound infection was the
most common complication 9 (18%) found in group I and 12 (24%) in group II
followed by wound dehiscence in group I 5 (10%) and in group II 7 (14%).
Mortality rate in group II 8 (16%) was significantly higher as compared to
group I 3 (6%). Satisfaction among patients of group I was significantly higher
as compared to group II with p value 0.05.
Conclusion: We
concluded in this study that the primary repair in patients with typhoid
perforation was effective and useful as compared to ileostomy in terms of
post-operative complications and mortality.
Keywords: Mortality, Complications, Typhoid
Perforation, Ileostomy, Primary Repair
ABSTRACT
Objective:The aim of this study is to compare the
outcomes between primary repair and ileostomy inpaediatric patients presented
with typhoid perforation.
Study Design:Comparative study
Place and Duration:The study was conducted at pediatric
surgery department of Children Hospital and Institute of Child Health, Lahore
andBacha Khan Medical Complex, Swabifor duration of six months from June 2020
to December 2020.
Methods: Total 100 patients of both genders were
presented in this study. Patients were aged between 3-18 years. Detailed
demographics of patients including age, sex and body mass index were recorded
after taking informed written consent. Patients who had typhoid perforation
were enrolled. Patients were equally divided into two groups. Group I had 50
patients and received primary repair and group II received ileostomy with 50
patients. Post-operative outcomes in terms of complications and mortality were
assessed and compared among both groups. Complete data was analyzed by SPSS
26.0 version.
Results:There were 72 males (36 in each group) and 28
females (14 in each group) in this study. Mean age of the patients were
11.14±7.44 years in group I and in group II mean age was 10.17±9.68 years. In
group I 35 (70%) cases had low socio-economic status while in group II 33 (66%)
cases had low socio-economic status. 60 patients were from rural areas (30 in
each group). Wound infection was the
most common complication 9 (18%) found in group I and 12 (24%) in group II
followed by wound dehiscence in group I 5 (10%) and in group II 7 (14%).
Mortality rate in group II 8 (16%) was significantly higher as compared to
group I 3 (6%). Satisfaction among patients of group I was significantly higher
as compared to group II with p value 0.05.
Conclusion: We
concluded in this study that the primary repair in patients with typhoid
perforation was effective and useful as compared to ileostomy in terms of
post-operative complications and mortality.
Keywords: Mortality, Complications, Typhoid
Perforation, Ileostomy, Primary Repair