2015, Number 2
Primary suture in children with intestinal perforation by typhoid fever
Language: Spanish
References: 16
Page: 259-268
PDF size: 417.87 Kb.
ABSTRACT
Introduction: intestinal perforation caused by typhoid fever is a common severe complication in Ghana.Objective: to describe the outcome of primary closure of typhoid intestinal perforation in children.
Method: a case series study was conducted in the Sefwi Asafo Hospital in Ghana. Fifty eight children admitted between 2009 and 2010 were included, in which resection of the edges of the lesion and primary suture was performed in two planes were included. Age, sex, number of perforations, postoperative complications and hospital stay were the variable considered for the study. Frequency analysis of association between variables was done.
Results: older age groups were between 10 and 14 years (55.17 %), with no differences regarding sex predominated the only drilling 67.24 %, postoperative infections were observed in 22.4 % and hospital stay was between seven and 14 days (74.1 %).
Conclusions: the results are reliable with other research. The technique proved to be a reliable, fast and simple for the treatment of typhoid intestinal perforation procedure.
REFERENCES
Honorio Horna C. Factores de riesgo de Morbilidad y Mortalidad en pacientes con Perforación Tífica Ileal pacientes con Perforación Tífica Ileal. Rev Gastroenterol Perú. 2006 [citado 2 nov 2014]; 26(1): 25-33. Disponible en: www.ncbi.nlm.nih.gov/pubmed/16622485 2. Abantanga FA, Nimako B, Amoah M. The range of abdominal surgical emergencies in children older than 1 year at the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Ann Afr Med. 2009 [citado 2 nov 2014]; 8(4):236-42. Disponible en: www.ncbi.nlm.nih.gov/pubmed/20139546 3. Clegg Lamptey JN, Hodasi WM, Dakubo JC. Typhoid ileal perforation in Ghana: a five-year retrospective study. Trop Doct. 2007 [citado 2 nov 2014]; 37(4):231-3. Disponible en: www.ncbi.nlm.nih.gov/pubmed/17988489
Muyembe Tamfum JJ, Veyi J, Kaswa M, Lunguya O, Verhaegen J, Boelaert M. An outbreak of peritonitis caused by multidrug-resistant Salmonella Typhi in Kinshasa, Democratic Republic of Congo. Travel Med Infect Dis. 2009 [citado 2 nov 2014]; 7(1):40-3. Disponible en: www.ncbi.nlm.nih.gov/pmc/articles/PMC3499407
Horowitz H, Carbonaro CA. Inhibition of the Salmonella typhi oral vaccine strain, Ty21a, by mefloquine and chloroquine. J Infectol Dis. 1992 [citado 2 nov 2014]; 166(6):1462-3. Disponible en: www.ncbi.nlm.nih.gov/pubmed/1431270 16. Beltran Rivera M. Fiebre tifoidea. En: Catarama Peñate M. Medicina Interna. Diagnóstico y Tratamiento. La Habana: Editorial Ciencias Médicas; 2005.p. 531-533.
Marwah S, Singla S, Tinna P. Role of gum chewing on the duration of postoperative ileus following ileostomy closure done for typhoid ileal perforation: a prospective randomized trial. Saudi J Gastroenterol. 2012 [citado 2 nov 2014]; 18(2):111-7. Disponible en: www.ncbi.nlm.nih.gov/pmc/articles/PMC3326971