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Typhoid enteric perforation

S Talwar1, R K Sharma, D K Mittal

  • 1Department of General Surgery, Jawahar Lal Nehru Medical College and Hospital, Ajmer, India.

The Australian and New Zealand Journal of Surgery
|June 1, 1997
PubMed
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Early limited surgery for typhoid enteric perforation, particularly primary closure, significantly reduces mortality. Prompt surgical intervention is crucial for better patient outcomes in this serious complication.

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Infectious Diseases

Background:

  • Bowel perforation is a critical complication of typhoid fever.
  • Effective management strategies for typhoid enteric perforation require evaluation.

Purpose of the Study:

  • To assess the role and outcomes of early limited surgery in managing typhoid enteric perforation.
  • To identify factors influencing mortality and complications.

Main Methods:

  • Retrospective review of 110 cases of typhoid enteric perforation.
  • Analysis of surgical interventions and patient outcomes between 1990 and 1995.

Main Results:

  • Most patients were young males (21-30 years, 83.6% male).

Related Experiment Videos

  • Early surgery (within 36h) was common (83.6%). Primary closure was the most frequent procedure (74.5%).
  • High rates of wound infection (79.1%) and fecal fistula (10%) were observed, with an overall mortality of 16.4%. Early surgery and primary closure were associated with lower mortality.

    • Conclusions:

    • Early limited surgery with peritoneal lavage offers optimal results for typhoid enteric perforation.
    • Fecal fistula is a severe complication associated with increased mortality.
    • McBurney incision may improve wound healing outcomes.