ILEOSTOMY

IN TYPHOID PERFORATION

Abstract

OBJECTIVES: To study mortality and morbidity associated with ileostomy in typhoid peritonitis. To compare results with primary closure and resection/anastomosis in typhoid peritonitis. DATA SOURCES: Patients admitted to A&E Department of B.V. Hospital with typhoid peritonitis. DESIGN OF STUDY: Prospective. SETTING: Surgical ward – 3, Bahawal Victoria Hospital, Bahawalpur. PERIOD: December 1996 to June 1998. MATERIAL & METHODS: 54 patients included in this study after diagnosis and resuscitation, patients were subjected to exploratory laparotomy and peroperative decision was made about definitive surgical procedure. RESULTS: Ileostomy as compared to other surgical procedure for typhoid peritonitis has shorter hospital stay, suitable for multiple perforations and for peritonitis of longer duration. CONCLUSION: Ileostomy should be preferred procedure in toxic, moribund patients due to typhoid perforation leading to peritonitis.