Imran Ashraf, Ghulam Muammad, Rana Suhail Noon, Mohammad Ashraf, Husnain Haider, Khalid Javed Abid.
To compare the outcome of ileostomy versus primary repair in enteric perforation.
Pak J Med Health Sci Jan ;4(4):523-5.

Intestinal perforation is the most dreadful complication of enteric fever in the developing countries leading to diffuse peritonitis. Enteric fever is a severe febrile illness caused primarily by the Salmonella typhi. The objective of this is to compare the outcome of primary repair with ileostomy in single enteric perforation. This randomized control trial study was carried out from 14th December, 2009 to 13th June, 2010 in Department of Surgical Emergency of Mayo Hospital Lahore. One hundred patients with enteric perforations, divided into two procedural groups, Group A (primary repair) and Group B (ileostomy) comprising fifty patients in each group. The mean age of patients in group A was 30.18±10.47 years and in group B was 29.28±10.49 years. Male to female ratio was 1.50:1 in group A and 2.57:1 in group B. The complications like wound infection were 28% in group A and 86% in group B, wound dehiscence was 14% in group A and 40% in group B and septicaemia was 8% in group A and 36% in group B. It is concluded that early repair of the perforation is a better procedure than temporary ileostomy in enteric perforation due to its cost effectiveness and absence of complications related to ileostomy.

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