Outcomes of Primary Repair in Patients with Typhoid Ileal Perforation

  • Nisar Ahmad Department of General Surgery, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Fazli Akbar Department of General Surgery, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Ijaz Ali Department of General Surgery, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Shah Abbas Department of General Surgery, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Nadeem Khan Department of General Surgery, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Anwar Syed Department of General Surgery, Saidu Teaching Hospital, Saidu Sharif, Swat

Abstract

Background: Typhoid fever is still a high burden disease in developing nations. Caused by infection with Salmonella typhi. Fecal flora is a risk source of this bacteria and the infection is routinely caused by ingestion of soiled food and water which is a major problem in developing countries. WHO reported >200,000 deaths due to typhoid fever in 2015. While in Pakistan the mortality rate has been reported to be 9.3/100,000 in overall population.Objective: To determine the outcomes of primary repair in patients of typhoid ileal perforation.Material and Methods: In present case series we included 170 adult patients of age 15-75 years of age, who presented with typhoid ileal perforation in Department of General Surgery Saidu Teaching Hospital within the period of 01-Jan-2018 to 31-Dec-2019. In all patients two-layer primary repair was done. Outcomes were noted in-terms of post-surgery wound infections, intra-abdominal collection, anastomotic leakage, wound dehiscence and in-hospital mortality.Results: Mean age of patients was 43.5±14.7 years. Out of 170 patients, 145 (85.2%) were men and 25 (14.8%) women. Mean duration of illness was 6.56±3.62 days. Wound infections were diagnosed in 49 (28.8%) patients, pneumonia in 22 (12.9%), intra-abdominal collection in 11 (6.5%), anastomotic leakage in 08 (4.7%) patients, wound dehiscence (burst abdomen) in 07 (4.1%) and 6 (3.5%) patients required ICU admission. In-hospital mortality occurred in 08 (4.7%) patients.Conclusion: Primary repair is an easy and safe technique of typhoid ileal perforation and has acceptable rate of post-operative complications.Keywords: Typhoid ileal perforation, primary repair.
How to Cite
1.
Nisar Ahmad, Fazli Akbar, Ijaz Ali, Shah Abbas, Nadeem Khan, Anwar Syed. Outcomes of Primary Repair in Patients with Typhoid Ileal Perforation. J Saidu Med Coll Swat [Internet]. 1 [cited 2022Sep.28];12(2):90-3. Available from: https://jsmc.pk/index.php/jsmc/article/view/733