The ideal treatment of the typhoid enteric perforation - resection anastomosis.
Eighty-one cases of typhoid enteric perforation were studied prospectively after separating them into four groups. Group A patients were treated with resection anastomosis, group B by debridement of margins of the perforation/wedge excision and simple closure, group C by simple closure and group D by ileostomy of perforated ileum or simple peritoneal drainage. A copious lavage of the peritoneal cavity with normal saline was performed in all four groups. The complication and mortality rates for group A patients were 37.50% and 21.47%, respectively, very much less than that observed in the other three groups. The ideal treatment for typhoid enteric perforation was found to be resection-anastomosis with copious peritoneal lavage.
Department of Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar (J&K), India. root@skims.ren.nic.in
A A
AA
Shah
K A
KA
Wani
B S
BS
Wazir
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D003646:Debridement; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D007081:Ileostomy; D007416:Intestinal Perforation / Q000209:etiology* / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D014435:Typhoid Fever / Q000150:complications*