TYPHOID PERFORATION OF ILEUM: AN EXPERIENCE OF 60 CASES
DOI:
https://doi.org/10.52206/jsmc.2011.1.2.64-67Abstract
Aims: The aim of our study was to collect data on Ileal perforation due to Enteric fever in this part of the
country and share our experience in the management of this common surgical emergency in the under
developed countries.
Material and Methods: This was a prospective study carried out on 60 patients admitted and operated for
typhoid perforation of ileum in the department of surgery Saidu Teaching Hospital over a period of three
years. A proforma was designed for this study based on history, examination, investigations, pre-operative
treatment, operative findings, post operative complications and mortality.
Results: Sixty (60) patients were enrolled in this day who were operated on the day of their admission. All
had single perforation in the distal ileum. Ileostomy was constructed in all patients. The mortality was
3.33% in our study as compared to 57-58.9% with simple closure, 8.8% with wedge excision and reanastomosis and 80% in patients treated conservatively. Other complications included, Skin excoriation
23.33%, wound infecdon 21.66%, wound dehiscence 6.66%, intra -abdominal abscesses 5.00%, ileostomy
prolapse 5.00%, ileostomy retraction 6.66% and pleural effusion 1.66%. There was no faecal fistula and reperforation in our cases.
Conclusions: Ileostomy for enteric perforation of ileum being associated with low morbidity and mortality
is recommended for all cases and particularly for those patients having gross contamination.
Key words: Typhoid Ileal perforation, Ileostomy, morbidity, mortality.
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