title: [Diagnostic, therapeutic, and prognostic aspects of typhoid intestinal perforations in Dapaong, Togo].
abstract: OBJECTIVE
  This study's aim is to describe the diagnostic, therapeutic, and prognostic aspects of typhoid intestinal perforations (TIP) at the Dapaong regional hospital (Togo).
  
  
  METHODS
  This retrospective study covered all patients with such perforations seen and managed in the Dapaong regional hospital's general surgery department during the 3-year period of 2009-2011.
  
  
  RESULTS
  There were 110 patients with TIP during the study period, and they accounted for 67.9% of the patients treated for generalized peritonitis (162 cases). Their mean age was 10.2 years. The sex-ratio was 1.4. A single perforation was present for 69 patients (62.7%) and multiple perforations for the other 41 (37.3%). Sixty (54.5%) patients underwent simple closure, 36 (32.8%) had an ileal resection and enteroanastomosis, and 14 (12.7%) had loop or double-barrelled ileostomy. The postoperative course was complicated in 26 cases (23.6%), most often by surgical site infection, seen in 19 patients (17.3%). Overall, 23 patients died during the postoperative period, for a mortality rate of 20.9%.
  
  
  CONCLUSIONS
  Typhoid intestinal perforations are the most common cause of generalized peritonitis at the Dapaong regional hospital. Most patients have only a single perforation, which is repaired by excision-suture. Their morbidity and mortality rate are high.
authors.affiliation: Service de Chirurgie générale du CHU de Kara, Kara, Togo.
authors.forename: I
authors.initials: I
authors.lastname: Kassegne
authors.affiliation: Chirurgie générale, Centre Hospitalier Régional de Dapaong, Dapaong, Togo.
authors.forename: E V
authors.initials: EV
authors.lastname: Sewa
authors.affiliation: Chirurgie générale, Centre hospitalier universitaire Sylvanus Olympio, Lomé, Togo.
authors.forename: K K
authors.initials: KK
authors.lastname: Kanassoua
authors.affiliation: Chirurgie viscérale, Centre hospitalier universitaire Sylvanus Olympio, Lomé, Togo.
authors.forename: F
authors.initials: F
authors.lastname: Alassani
authors.affiliation: Chirurgie générale, Centre hospitalier universitaire Sylvanus Olympio, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Adabra
authors.affiliation: Chirurgie générale, Centre hospitalier universitaire Sylvanus Olympio, Lomé, Togo.
authors.forename: A K
authors.initials: AK
authors.lastname: Amavi
authors.affiliation: Chirurgie viscérale, Centre hospitalier universitaire Sylvanus Olympio, Lomé, Togo.
authors.forename: B
authors.initials: B
authors.lastname: Tchangai
authors.affiliation: Service de Chirurgie générale du CHU de Kara, Kara, Togo.
authors.forename: K G
authors.initials: KG
authors.lastname: Azialey
authors.affiliation: Chirurgie viscérale, Centre hospitalier universitaire Sylvanus Olympio, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Attipou
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D012423:Rural Health; D014037:Togo; D014435:Typhoid Fever / Q000150:complications
keywords: Togo; management; peritonitis; typhoid intestinal perforation