Management of typhoid perforation

ABSTRACT

To Compare Primary repair and Ileostomy in patients with Typhoid perforation in terms of Morbidity and mortality in Sir Ganga Raam Hospital. Observational Comparison Study. 15[th] March 08 to 15[th] June 2009 in department of Surgery, Sir Ganga Ram Hospital Lahore. All the patients presented in surgical Emergency with typhoid perforation of all age groups and of both genders. Resuscitation followed by exploratory laparatomy with appropriate surgical procedure was done. 24 patients with typhoid perforation were observed with mean age group of 32 years. Male to female ratio of 31. Surgical intervention done was primary repair of perforation [N=9], Resection Ileostomy [N=12] and resection anastamosis [N=3]. Morbidity in term of hospital stay is high in patients with serious peritoneal contamination and in most cases resection Ileostomy has to be undertaken