The surgical management of typhoid perforation in children

Author:

Keenan J P1,Hadley G P1

Affiliation:

1. Department of Paediatric Surgery, University of Natal Medical School, PO Box 17039, 4013 Congella, Durban, South Africa

Abstract

Abstract Typhoid perforation still has a high mortality rate (19–59 per cent) and controversy regarding the management of patients with this complication still abounds. We report our experience of 26 children with histologically proven typhoid perforation with an operative mortality of 9·0 per cent. Timed surgery with ulcer excision, simple two-layer closure of the defect and copious peritoneal lavage were used.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference8 articles.

1. Typhoid perforation of the ileum in children;Lizarralde;J Ped Surg,1981

2. Typhoid perforation of the ileum: A therapeutic dilemma;Angorn;S Afr Med J,1975

3. Further experience with amoxycillin in typhoid fever in childhood;Scragg;Br Med J,1976

4. Typhoid;Adams;S Afr J Cont Med Ed,1983

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