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Typhoid perforation: choice of operation
The British Journal of Surgery
|May 1, 1981
Summary
For typhoid perforation, end-to-side ileotransverse colostomy resulted in less postoperative morbidity compared to simple closure. This surgical approach is recommended for bowel conditions caused by typhoid fever.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Infectious Diseases
Background:
- Typhoid fever frequently causes bowel perforation, a serious complication.
- Surgical intervention is necessary for managing typhoid perforation.
- Different surgical techniques exist, each with varying outcomes.
Purpose of the Study:
- To compare the outcomes of two surgical methods for typhoid bowel perforation.
- To determine the preferred surgical approach for typhoid perforation.
Main Methods:
- A retrospective review of 93 patients treated for typhoid perforation over 17 years.
- Comparison of outcomes between simple perforation closure (43 patients) and end-to-side ileotransverse colostomy (42 patients).
Main Results:
- No significant difference in mortality was observed between the two groups.
- Survivors undergoing end-to-side ileotransverse colostomy experienced lower postoperative morbidity.
- End-to-side ileotransverse colostomy aligns with the pathological changes seen in typhoid fever.
Conclusions:
- End-to-side ileotransverse colostomy is a superior surgical option for typhoid bowel perforation.
- This technique offers reduced postoperative complications in survivors.
- The procedure is recommended as the surgical choice for this condition.