Wedge resection and anastomosis versus tube ileostomy for typhoid perforation

Eighty seven cases of typhoid perforations out of a total of 159 ileal perforations were studied in Surgical Unit-1 Services Hospital Lahore from January 1988 to January 1993 [61 months]. One group, including 45 patients [Group A] underwent wedge resection of perforation and primary anastomosis in two layers while the second group including 42 patients [Group B] was treated by simple repair of perforation with proximal tube ileostomy. The morbidity and mortality was found to be comparable, with the advantage in group A of a shorter convalescence period and in patient stay. So we recommend wedge resection and anastomosis as the procedure of choice in patients with typhoid perforation