Primary repair versus ileostomy in a single typhoid perforation of ileum

Aim: to compare the usefulness of primary repair and ileostomy in cases of single typhoid perforation. methods: the study was conducted in surgical unit 1,nawaz sharif social security teaching hospital,multan road lahore for one year from 01-01-2014 to 31 -12- 2014.sixity patients fulfilling inclusion criteria were included in this study and they were divided into two equal groups a and b by using the table of random numbers. the group a was treated with primary repair and group b with ileostomy. results: the mean age group of a was (26.9±9.3) years and in group b was (31.5± 10.0) years. the mean duration of hospital stay in group a was 6.5 ±1.1 days and in group b was 9.1 ±2.4 days. in post operative complication,in group a 02 (6.6%) patients developed leakage of primary repair,however,no mortality in group a. in group b 27 (90%) patients developed skin irritation,04 (13.4%) retraction of ileostomy,01(3.3%) necrosis and 3(10%) expired. conclusion: the early presentation of patients with typhoid perforation,the primary repair is better than ileostomy.