Mortality pattern of patients of typhoid perforation during the year 2001 to 2010 admitted in surgical wards of Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India
DOI:
https://doi.org/10.18203/2349-2902.isj20163568Keywords:
Mortality pattern, Surgical ward, Typhoid perforationAbstract
Background: Typhoid perforation is a common surgical emergency. Despite advances in surgical techniques, antimicrobial therapy and intensive care support, management of typhoid perforation continues to be highly demanding difficult and complex. In majority of cases the presentation to the hospital is late with well-established generalized peritonitis with purulent/fecal contamination and varying degree of septicemia.
Methods: Case records were collected from central registration section of Department of Surgery, particulars of patients was recorded from case sheet. Details of patient's complaints clinical findings, investigations, treatment, operation, complications and cause of death recorded on predesigned master chart and statistical tabulation done to analyze various mortality rates. Their findings were recorded in a proforma and master chart. The information obtained was tabulated and analyzed.
Results: Total admission in surgical wards during study period was 56425, and total no. of deaths was 3676. Out of which 765 patients died of perforation peritonitis, among which 118 patients died of typhoid perforation peritonitis and it constituted 3.31% of total death, 15.42% of deaths due to perforation peritonitis.
Conclusions: In our study most common cause of death was septicaemia.
References
Malik AM, Laghari AA, Mallah Q, Qureshi GA, Talpur AH. Different surgical options and ileostomy in typhoid perforation. World J Med Sci. 2006;1(2):112-6.
Beniwal V, Jindal D, Sharma J, Jain S, Shayam G. Comparative study of operative procedures in typhoid perforation. Ind J Surg. 2003;65:172-7.
Bontecou RB, Abdominal section for ruptured typhoid ulcer and for intestine obstruction. JIMA. 1888:10:106-9.
Bose SM, Kumar A, Chaudhary A, Dhara I, Gupta NM, Khanna SK. Factors affecting mortality in small intestinal perforation. Indian J Gastroenterol. 1986;5:261-3.
Chouhan MK, Pande SK. Typhoid enteric perforation. Br J Surg. 1982:69:173-5.
Dickson JAS, Cole GJ. Perforation of the terminal ileum: a review of 38 cases. Brit J Surg. 1964:51:893:7.
Egglestone FC. Typhoid perforation of the bowel experience in 78 cases. Ann Surg. 1979;190:31-5.
Eustache JM, Kreis DJ. Typhoid perforation of intenstine. Arch Surg. 1983;118:1269-71.
Franklin WPL. Surgical treatment of typhoid perforation of the intestine. Br J Surg. 1963;50:976.
Keen WW. Surgical treatment of perforation of the bowel in typhoid fever. JAMA. 1900:34:130-8.
Nadkarni MM, Setty DO, Kagzi RS. Small bowel perforation - a study of 32 cases. Arch Surg. 1981;116:53-57.
Parashar S. Role of ileostomy in outcome of patients of ileal perforation peritonitis. 2008.
Rajgopalan AE, Jack P. Free perforation of the small intestine. Ann Surg. 1983;196(5):576-9.
Shrivastava A. Clinical study of non-traumatic perforation peritonitis with special reference to drains. 2001.
Singh KP, Singh K, Kohli JS. Choice of surgical procedure in typhoid perforation. Experience in 42 cases. J Indian Med Assoc. 1991;89:255-6.
Swadia MD, Trivedi MP, Thakkar AM. The problem of enteric ileal perforations. Ind J Surg. 1979;41:643-51.
Tripathi TS, Shrivastava GP, Pal DK. By-pass surgery - the operation of choice in typhoid perforation. Ind J Surg. 1994;56(5):213-21.
