ArticleBMC gastroenterology2013
Comparative analysis of primary repair vs resection and anastomosis, with laparostomy, in management of typhoid intestinal perforation: results of a rural hospital in northwestern Benin.
Article in BMC gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Article
- Review
- Typhoid intestinal perforation in Francophone Africa, a scoping review.PLOS global public health · 2024Article
- Acute Generalized Peritonitis in a Peripheral Hospital Centre in Benin: Can It Be Managed by a Local General Practitioner?Surgery research and practice · 2021Article
- A differentiated approach to repeat small-bowel anastomoses in patients with postoperative peritonitis: a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Jejunal multiple perforations for combined abdominal typhoid fever and miliary peritoneal tuberculosis.The Pan African medical journal · 2019Article
- Wound Outcome Following Primary and Delayed Primary Skin Closure Techniques After Laparotomy for Non-Traumatic Ileal Perforation: a Randomized Clinical Trial.The Indian journal of surgery · 2017Article
- Typhoid intestinal perforation in developing countries: Still unavoidable deaths?World journal of gastroenterology · 2017Article
- Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient.Case reports in surgery · 2017Article
- Which cause of diffuse peritonitis is the deadliest in the tropics? A retrospective analysis of 305 cases from the South-West Region of Cameroon.World journal of emergency surgery : WJES · 2016Article
- Typhoid Intestinal Perforations: Has the Clinical Importance Decreased in Eastern Anatolia for 36 Years?The Eurasian journal of medicine · 2015Article
- Totally laparoscopic repair of an ileal and uterine iatrogenic perforation secondary to endometrial curettage.International surgery · 2015Article
- Comparative study of free omental sheet graft and other operative procedures of enteric perforation repair.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Observational
- Typhoid Fever Surgical Outcomes in West Africa Improved with Ileostomies: A Single-Hospital Study.Journal of the West African College of SurgeonsArticle
- Enteric Fever Complicated by Intestinal Perforation in Children: A Persistent Health Problem Requiring Surgical Management.Pakistan journal of medical sciencesArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective is to compare primary repair vs intestinal resection in cases of intestinal typhoid perforations. In addition, we hypothesised the usefulness of laparostomy for the early diagnosis and treatment of complications.
methods111 patients with acute peritonitis underwent emergency laparotomy: number of perforations, distance of perforations from the ileocaecal valve, and type of surgery performed were recorded. A laparostomy was then created and explored every 48 to 72 hours. The patients were then divided into two groups according to the surgical technique adopted at the initial laparotomy: primary repair (Group A) or intestinal resection with anastomosis (Group B). Clinical data, intraoperative findings, complications and mortality were evaluated and compared for each group.
resultsIn 104/111 patients we found intestinal perforations, multiple in 47.1% of patients. 75 had primary repair (Group A) and 26 had intestinal resection with anastomosis (Group B). Group B patients had more perforations than patients in Group A (p = 0.0001). At laparostomy revision, the incidence of anastomotic dehiscence was greater than that of primary repair dehiscence (p = 0.032). The incidence of new perforations was greater in Group B than in Group A (p = 0.01). Group B correlates with a higher morbility and with a higher number of laparostomy revisions than Group A (p = 0.005).
conclusionsResection and anastomosis shows greater morbidity than primary repair. Laparostomy revision makes it possible to rapidly identify new perforations and anastomotic or primary repair dehiscences; although this approach may seem aggressive, the number of operations was greater in patients who had a favourable outcome, and does not correlate with mortality.
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