Ileostomy Versus Primary Closure in Typhoid Ileal Perforation in Patients with Two or More Poor Prognostic Factors

While SSI and mortality were more frequent in the primary closure group, the difference was not statistically significant. However, ileostomy demonstrated advantages, including fewer severe complications and faster recovery of enteral feeding. The study suggests that individualized surgical approaches, considering patient risk factors, may improve outcomes in typhoid ileal perforation cases. Ileostomy may be preferable in high-risk patients due to its lower complication rates and quicker postoperative recovery.