Choice of surgical procedure in typhoid perforation: experience in 42 cases.

作者：Kapil Singh, Kshitij Singh, JS Kohli · 发表于：PubMed · 年份：1991 · 被引用次数：37 · 研究领域：Intestinal Malrotation and Obstruction Disorders、Esophageal and GI Pathology、Amoebic Infections and Treatments

Forty-two patients of typhoid perforation of the gut have been studied. All the patients were subjected to surgery after resuscitation. Simple closure (with or without serosal patch) and temporary ileostomy were the commonly performed surgical procedures. The overall mortality was 14.2%. Postoperative morbidity included wound dehiscence, fistula, encephalopathy, septicaemia, intra-abdominal abscesses and incisional hernia. Faecal fistula formed in 5 out of 42 cases. Ileostomy was found to be the best procedure with regard to morbidity and mortality.