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  • Title: The ideal treatment of the typhoid enteric perforation - resection anastomosis.
    Author: Shah AA, Wani KA, Wazir BS.
    Journal: Int Surg; 1999; 84(1):35-8. PubMed ID: 10421015.
    Abstract:
    Eighty-one cases of typhoid enteric perforation were studied prospectively after separating them into four groups. Group A patients were treated with resection anastomosis, group B by debridement of margins of the perforation/wedge excision and simple closure, group C by simple closure and group D by ileostomy of perforated ileum or simple peritoneal drainage. A copious lavage of the peritoneal cavity with normal saline was performed in all four groups. The complication and mortality rates for group A patients were 37.50% and 21.47%, respectively, very much less than that observed in the other three groups. The ideal treatment for typhoid enteric perforation was found to be resection-anastomosis with copious peritoneal lavage.
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