BENEFITS AND LIMITATIONS OF DRAINS AFTER PEPTIC ULCER PERFORATION REPAIR -COMPARISON OF COMPLICATIONS IN THREE GROUPS AT A TERTIARY CARE HOSPITAL.

Dr Zaheer Ahmed; Dr Muzzafar Zaman; Dr Kunal Chowdhary; Dr Rahul Yadav

Volume : VII, Issue : III, March - 2018

BENEFITS AND LIMITATIONS OF DRAINS AFTER PEPTIC ULCER PERFORATION REPAIR -COMPARISON OF COMPLICATIONS IN THREE GROUPS AT A TERTIARY CARE HOSPITAL.

Dr Zaheer Ahmed, Dr Muzzafar Zaman, Dr Kunal Chowdhary, Dr Rahul Yadav

Abstract :

Background: Peptic ulcer perforation is an emergency and requires urgent surgical intervention. Nowadays ,several modalities of treatment are available ranging from conservative treatment to laparoscopic repair of the perforation.

Aim: To compare the post-op complications following omental patch closure of perforated peptic ulcer in 3 groups of patients as follows: no drain group, one-drain subhepatic group, one-drain pelvic group.

Methods: This study was conducted in department of surgery on 90 patients presenting with peptic perforation in last three years. All the patients with pyloroduodenal perforation were included in the study.

Results: Out of 90 cases there were 80 male patients and 10 female patients . Post-operative complications were similar in the no-drain group as compared to other (drain) groups.

Conclusion: In summary, after the surgery for perforated peptic ulcer no drain placement is as good as one drain placement and sub-hepatic drain is more useful than the pelvic drain.