THE PROGNOSTIC FACTORS IN TYPHOID ILEAL PERFORATION
Keywords:
Typhoid fever, Typhoid ileal perforation, Prognostic factorsAbstract
Objectives: To determine various prognostic factors and to evaluate their role in the outcome of surgical treatment of
typhoid ileal perforation.
Materials and Methods: The study was conducted in Surgical Department of Khyber Teaching Hospital, Peshawar
from February 2005 to January 2006. Fifty patients with suspected typhoid ileal perforation and confirmed at
operation were included in the study. Attention was paid to pre-operative, per-operative and post-operative factors
which had a strong effect on the outcome of surgical treatment of typhoid ileal perforation.
Results: The age range was 15-64 years (mean age = 33.5 years) with male to female ratio of 2.3:1. Most of the
patients presented in 3rd week of their illness and were operated upon with a mean interval of 34.8 hours
between perforation and operation. A total of 8 patients developed complications. Wound sepsis, a common
complication in our study occurred in 4 patients, sub-phrenic abscess in 2 patients while re-perforation
occurred in only one patient. All of them had presented late with a long history of chronic illness. No mortality
was recorded in our study.
Conclusion: The study concluded that surgical treatment of typhoid ileal perforation showed good results in those
patients who were in satisfactory health with a short history of illness before perforation. In addition early surgical
intervention and satisfactory per-operative findings had significant effects on post-operative outcome.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
