Comparative study of repair of peptic perforation with and without omentopexy

Dr.Bharat P. Mistry; Dr.Geeta B. Patel; Dr.S.R.Joshi

Volume : VIII, Issue : XII, December - 2018

Comparative study of repair of peptic perforation with and without omentopexy

Dr. Bharat P. Mistry, Dr. Geeta B. Patel, Dr. S. R. Joshi

Abstract :

peptic perforation is potentially complicated surgical emergencies & proper early management is necessary to avoid subsequent problems,the aim of study was to study the treatment and outcome of peptic perforation patients undergoing emergency laparotomy for perforated peritonitis.There are different operative management for this like conservative treatment,Simple closure of perforation,closure of perforation with omentum.This study was conducted in surgical department of 50 patients appeå with peptic perforation.All the patients with perforation at pyloric end of stomach were included in this study.Duodenal perforation and servere co–marbid conditions were excluded from study.30 patients treated with omentopexy and rest 20 patients without omentopexy (with simple closure), Immediate and late postoperative complications are recorded.Additional data were obtained by review of electronic records and review of case notes.Out of 50 patients 40 male pateients and 10 female patients.The majority of male patients were in the middle age group between 35 to 50 years of age,the female were of older age group between 40 to 60 years.These patients were presented with abdominal distention and epigastric pain,out of 50 , 30 patients were treated with omentopexy & 20 patients were treated with simple closure.In postoperative period 3 patients had burst abdomen on 5^th postop day.Wound infection occurred in 4 patients.Hospital stay was 5 to 10 days.There was no single mortality recorded in this series.In summary,Almost all the patients can be effectively managed by laparotomy.The surgery with omentopexy giving excellent results in terms of healing,morbidity and mortality.