TYPHOID PERFORATIONS — PROGNOSTIC FACTORS AND MODE OF TREATMENT

Authors

  • Syed Sultan
  • Rashid Ahmed
  • Shah Jehan Afridi
  • Zahir Qureshi
  • Irfan -ud-Din Khattak

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.

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