Outcome of primary closure of abdominal wounds following typhoid perforation in children in Ile-Ife, Nigeria | Zendy

UE Usang | Zendy; OA Sowande | Zendy; Adesoji Ademuyiwa | Zendy; TY Bakare | Zendy; O Adejuyigbe | Zendy

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Outcome of primary closure of abdominal wounds following typhoid perforation in children in Ile-Ife, Nigeria

Author(s) -

UE Usang,

OA Sowande,

Adesoji Ademuyiwa,

TY Bakare,

O Adejuyigbe

Publication year - 2009

Publication title -

african journal of paediatric surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.163

H-Index - 17

eISSN - 0189-6725

pISSN - 0974-5998

DOI - 10.4103/0189-6725.48573

Subject(s) - medicine , typhoid fever , surgery , wound dehiscence , perforation , dehiscence , abscess , incidence (geometry) , general surgery , materials science , physics , pathology , optics , punching , metallurgy

Abdominal wounds following surgery for typhoid perforation are classified as dirty, with an infection rate of over 40%. To date, the optimal method for closure of these wounds remains controversial. Delayed primary closure which was conventionally recommended as standard practice, is now considered to be of no value in preventing surgical site infection (SSI). This study evaluates the outcome of primary closure of this class of wounds in children in Ile-Ife, Nigeria, and advocates a multidisciplinary wound management protocol.

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