Typhoid perforation: choice of operation.
Over a 17-year period 93 patients have been treated for typhoid perforation of the bowel. Forty-three of these have been treated by closure of the perforation, and 42 by end-to-side ileotransverse colostomy. These two groups are compared. Although there was no difference in mortality, postoperative morbidity in survivors was less in those having an end-to-side ileotransverse colostomy. End-to-side ileotransverse colostomy is a logical operation based upon the pathological changes in the bowel produced by typhoid fever and is the operation of choice.
D000328:Adult; D003125:Colostomy / Q000379:methods; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D014435:Typhoid Fever / Q000150:complications*