TYPHOID PERFORATIONS — PROGNOSTIC FACTORS AND MODE OF TREATMENT
Abstract
ABSTRACT:This report examines the characteristics of 60 patients with typhoid perforations, treated over aperiod of 7.5 years, ending September, 1990. The most important prognostic determinants wereperforation/operation interval, age of the patient and mode of treatment. 15% cases were treatedconservatively with 11.11% mortality, in 3% only a drainage procedure could be instituted with a50% mortality and definitive treatment in the form of simple closure (in 54% cases), and wedgeresection (in 28% cases) yielded 22.5% and 18% mortality respectively.References
Khanna, A.K., et at Typhoid perforation of gut. Post graduate Medical Journal, 1984; 60: 523-
Olurin, E.O., et at Typhoid Perforation. Journal of Royal College of Surgeons of Edinburgh,
; 17: 353 64.
Bohnen John, et at Prognosis in generalised peritonitis. Archives of Surgery, 1983; 118: 285.
Spencer, E.E., Efem, et at Recent advances in the management of Typhoid enteric perforation
in children. Journal of Royal College of Surgeons of Edinburgh, 1986; 31: 214-16.
Sitaram Venkatramani, et at Typhoid ideal perforation. Annal of Royal College of Surgeons of
England, 1990; 72:347-49.
Gen Ralph, et at Prognostic factors in generalized peritonitis. Journal of Royal College of
Surgeons of Edinburgh, 1979; 21 (3).
Henry, T., Randal, et at Manual of pre-operative and post-operative care. (By American College
of Surgeons) W.B. Saunder's Company Philadelphia and London, 1988; p.30.
Stephen, M. Generalized infective peritonitis. Surgery, Gynecology and Obstetrics, 78; 147:
-34.
