The ideal treatment of the typhoid enteric perforation - resection anastomosis

Eighty-one cases of typhoid enteric perforation were studied prospectively after separating them into four groups. Group A patients were treated with resection anastomosis, group B by debridement of margins of the perforation/wedge excision and simple closure, group C by simple closure and group D by ileostomy of perforated ileum or simple peritoneal drainage. A copious lavage of the peritoneal cavity with normal saline was performed in all four groups. The complication and mortality rates for group A patients were 37.50% and 21.47%, respectively, very much less than that observed in the other three groups. The ideal treatment for typhoid enteric perforation was found to be resection-anastomosis with copious peritoneal lavage.