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.
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