Outcome of primary closure of abdominal wounds following typhoid perforation in children in Ile-Ife, Nigeria
Afr. j. paediatri. surg. (Online)
; 6(1): 31-34, 2009. ilus
Artigo
em Inglês
| AIM (África)
| ID: biblio-1257517
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
Abdominal wounds following surgery for typhoid perforation are classified as dirty; with an infection rate of over 40. To date; the optimal method for closure of these wounds remains controversial. Delayed primary closure which was conventionally recommended as standard practice; is now considered to be of no value in preventing surgical site infection (SSI). This study evaluates the outcome of primary closure of this class of wounds in children in Ile-Ife; Nigeria; and advocates a multidisciplinary wound management protocol. Patients andMethods:
This is a retrospective study of children aged 1-15 years who had had surgery for typhoid perforation in a teaching hospital in south western Nigeria; over a period of ten years.Results:
Thirty-two patients; 18 males and 14 females; in the ratio of 1.31 were managed for typhoid perforation during the ten year period. All 32 patients had primary closure of their abdominal wounds. There was primary wound healing in six (18.8) patients; while 19 (59.4) patients had surgical site infections. Wound dehiscence; intraabdominal abscess; and faecal fistulas were the other complications documented in the study.Conclusion:
Abdominal wounds of typhoid perforation; though classified as being dirty; can be closed primarily with good healing outcomes. A multidisciplinary approach to wound management will reduce the incidence of wound sepsis and its associated morbidity and costs
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
Base de dados:
AIM (África)
Assunto principal:
Febre Tifoide
/
Criança
/
Traumatismos Abdominais
/
Nigéria
Tipo de estudo:
Guia de prática clínica
/
Estudo observacional
/
Fatores de risco
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Afr. j. paediatri. surg. (Online)
Ano de publicação:
2009
Tipo de documento:
Artigo