Masood Shah, Muhammad Jamil, Asif Karim, Sajid Shamim, Nabi Bux Napar, Muhammad Daraz Khan.
Comparison of Outcomes between Primary Repair and Ileostomy in Children with Typhoid Perforation.
Pak J Med Health Sci Jan ;14(2):639-41.

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.

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