A COMPARATIVE STUDY OF CLOSURE OF DUODENAL ULCER PERFORATIONS WITH OMENTAL PLUGGING VERSUS GRAHAM’S PATCH

Dr.M.Koti Reddy; Dr V.Muralikrishna; Dr.P.Haricharan; Dr.Y.D.S.N.Murthy

Volume : VI, Issue : X, October - 2016

A COMPARATIVE STUDY OF CLOSURE OF DUODENAL ULCER PERFORATIONS WITH OMENTAL PLUGGING VERSUS GRAHAM’S PATCH

Dr. M. Koti Reddy, Dr V. Muralikrishna, Dr. P. Haricharan, Dr. Y. D. S. N. Murthy

Abstract :

Perforation of duodenal ulcer is a common abdominal surgical emergency causing peritonitis still takes a heavy toll of life.The surgical procedures are not free from drawbacks, especially while managing large perforations[>5mm].Hence there is a need to compare closure of duodenal perforations by either Graham’s patch or omental plugging. In this series 51 patients of duodenal perforation were studied during September 2013 to August 2015 at Government General Hospital,Kurnool,A.P.,.Two groups were selected randomly,one was treated with Graham’s patch[25 cases] and other treated with omental plugging[26 cases].Patients were followed for one month after surgery.In the group treated with Graham’s patch,mortality was 13.3%,wound infection rate was 60%,biliary fistula rate was 30% and an average hospital stay was 12.8 days.Omental plugging was performed in 26 patients without any mortality, a biliary fistula of 3.23%,a wound infection of 9.68% and the average hospital stay was 12.48 days. Omental plugging is better than Graham’s patch for closure of duodenal perforations.