International Journal of Surgery Science
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International Journal of Surgery Science
Vol. 3, Issue 1, Part F (2019)

Tube caeco-ileostomy with repair: An innovative surgical technique for typhoid perforation

Author(s): Upendra Prasad Singh, Ravindra Kumar, Gyanendra Singh and Richa Chauhan
Abstract:
Background: Typhoid ileal perforation is still a common surgical emergency in tropical countries. Several surgical procedures have been reported by various surgeons from all over the world with varied reports about post-operative outcome and complications. The given study describes an innovative surgical technique “Tube Caeco-ileostomy with repair of perforation” for patients of typhoid perforation presenting in resource limited set-up.
Methods and Material: This series includes clinical, post-operative complications and mortality data of 68 patients operated with this technique, from May 1997 to April 2017 at Patna Medical College and Hospital and Sanjeevani Hospital, Patna, India.
Results: Wound infection, wound dehiscence, residual abscess, incisional hernia and faecal fistula was found in 30%, 20%, 10%, 10% and 8% of the cases respectively. Septicemia was seen in 20% cases with a mortality rate of 4.4%.
Conclusion: The encouraging results with this procedure strongly advocates further studies at other centers.
Pages: 349-353  |  348 Views  187 Downloads
How to cite this article:
Upendra Prasad Singh, Ravindra Kumar, Gyanendra Singh and Richa Chauhan. Tube caeco-ileostomy with repair: An innovative surgical technique for typhoid perforation. International Journal of Surgery Science. 2019; 3(1): 349-353. DOI: https://doi.org/10.33545/surgery.2019.v3.i1f.59