Typhoid perforations, prognostic factors and mode of treatment

ABSTRACT

This report examines the characteristics of 60 patients with typhoid perforations, treated over a period of 7.5 years, ending September, 1990. The most important prognostic determinants were perforation/operation interval, age of the patient and mode of treatment. 15% cases were treated conservatively with 11.11% mortality, in 3% only a drainage procedure could be instituted with a 50% mortality and definitive treatment in the form of simple closure [in 54% cases], and wedge resection [in 28% cases] yielded 22.5% and 18% mortality respectively