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
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