Background/Aim:Enteric perforation is a grave complication of typhoid fever. Laparotomy with primary closure is the treatment of choice depending upon the bowel condition. Fecal fistula formation is the main concern in primary closure and the incidence of this complication dramatically decreases when omentum is used as a patch over primary closure.Materials and Methods:A total of 176 patients underwent laparotomy for enteric perforation and they were divided into two groups randomly; Group I–Primary closure with omental patch and GroupII– –Only primary closure. The outcomes were measured in relation to hospital stay, wound infection, septicemia, fecal fistula, and mortality.Results:The incidence of complications including fecal fistula and mortality is significantly lower in the group I patients. Fecal fistula occurs in 7.7% in group II, while in only 1.1% in group I. The mortality is also lower 3.3% in group II, while 1.1% in group I.Conclusion:Primary closure with omental patch is a better option as compared with only primary closure in enteric perforation patients. It can be recommended as an alternative method to primary closure only in enteric perforation patients.
The ability to read al-Qur'an especially for students in public schools (SMP) is very important in improving learning achievement in the field of Islamic education. Said to be important because al-Qur'an as one of the scope of Islamic religious education becomes the basic basis of Islamic religious education material. Departing from these problems, the problem to be answered in this research is how the ability and urgency of students in reading the Qur'an at SMP Negeri 7 Pamekasan, in order to be able to improve the achievements of Islamic religious education. This study aims to determine the ability of students in reading the Qur'an at SMP Negeri 7 Pamekasan in order to improve the achievements of Islamic religious education students at SMP Negeri 7 Pamekasan. From the results of research conducted it turns out that the ability of students of SMP Negeri 7 Pamekasan in reading the Qur'an is good enough.
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