Omental Patch Technique for Ileal Perforation from Typhoid Fever
Author Information
Author(s): Husain Musharraf Khan, Rehan Nabi Rehmani, Babar Haris Hasan
Primary Institution: Department of Surgery, J N Medical College, Aligarh, India
Hypothesis
Is the omental patch technique more effective than primary closure alone for treating enteric perforation due to typhoid fever?
Conclusion
Using an omental patch during primary closure significantly reduces complications like fecal fistula and mortality in enteric perforation patients.
Supporting Evidence
- Fecal fistula occurred in 7.7% of patients with only primary closure compared to 1.1% in the omental patch group.
- Mortality was lower in the omental patch group at 1.1% compared to 3.3% in the primary closure group.
- Patients in the omental patch group had a significantly lower incidence of complications.
Takeaway
Doctors found that using a piece of fat from the stomach helps patients with a hole in their intestines from typhoid fever heal better than just sewing it up.
Methodology
176 patients were randomly divided into two groups: one received primary closure with an omental patch, and the other received only primary closure.
Potential Biases
Potential selection bias due to the criteria for including patients in the study.
Limitations
The study only included patients with single perforations and relatively healthy bowel, which may limit generalizability.
Participant Demographics
Majority were males (82%), with ages primarily between 10 to 30 years.
Statistical Information
P-Value
<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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