title: Omental patch technique for the ileal perforation secondary to typhoid fever.
abstract: OBJECTIVE
  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.
  
  
  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 Group II--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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Surgery, J N Medical College, Aligarh, India. drmhusain1@gmail.com
authors.forename: Musharraf
authors.initials: M
authors.lastname: Husain
authors.forename: Rehan Nabi
authors.initials: RN
authors.lastname: Khan
authors.forename: Babar
authors.initials: B
authors.lastname: Rehmani
authors.forename: Hasan
authors.initials: H
authors.lastname: Haris
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery*; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery*; D007813:Laparotomy / Q000379:methods; D008297:Male; D009852:Omentum / Q000637:transplantation*; D010538:Peritonitis / Q000209:etiology / Q000601:surgery*; D014435:Typhoid Fever / Q000150:complications*; D055815:Young Adult