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Typhoid enteric perforation

M K Chouhan, S K Pande

    The British Journal of Surgery
    |March 1, 1982
    PubMed
    Summary

    Typhoid perforation requires antibiotics, fluids, and blood transfusions. Early, limited surgery to repair the gut and drain the abdomen is crucial for reducing mortality in these enteric perforation cases.

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    Area of Science:

    • Medicine
    • Surgery
    • Infectious Diseases

    Background:

    • Typhoid perforation is a serious complication of Salmonella Typhi infection.
    • Intestinal perforation presents significant mortality risks.

    Purpose of the Study:

    • To review management strategies for typhoid intestinal perforation.
    • To evaluate the impact of surgical intervention on patient outcomes.

    Main Methods:

    • Retrospective review of 344 patients with typhoid perforation.
    • Analysis of treatment protocols including conservative and surgical management.

    Main Results:

    • Conservative management, including antibiotics, fluid/electrolyte replacement, and blood transfusion, is essential.
    • Early, limited surgical intervention for gut closure and peritoneal drainage significantly improves outcomes.

    Conclusions:

    • While conservative measures have improved survival rates, timely surgical intervention remains paramount.
    • Minimally invasive surgical techniques are recommended for optimal results in managing typhoid perforation.

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