PERFORATED PEPTIC ULCER- A PROSPECTIVE TRIAL BETWEEN SIMPLE CLOSURE AND DEFINITIVE SURGERY

Dr. P.R SHIVHARE; Dr.RAM NARESH GUPTA

Volume : VII, Issue : XII, December - 2018

PERFORATED PEPTIC ULCER- A PROSPECTIVE TRIAL BETWEEN SIMPLE CLOSURE AND DEFINITIVE SURGERY

Dr. P. R Shivhare, Dr. Ram Naresh Gupta

Abstract :

The perforation of gastro–intestinal tract is a serious problem without an attempt at relief. This dictum draws attention at once to the fact that the perforations of peptic ulcer are always serious as to prognosis. This study was done in the department of Surgery, Medical College Jabalpur M.P between the periods of 1989–1990. During the period of present study 48 (46 male and 2 female) patients were treated in surgical ward. Out of 48 cases, 08 cases (16.16%) were subjected to definitive surgery, 38 cases (79.16%) simple closure and 02 cases (94.16%) peritoneal lavage and drainage. The result of this study shows that the incidence of perforation peptic ulcer was higher in middle age group i.e. between 31 to 40 years; the mortality rate irrespective of the type of treatment was 8.33%; the average period of hospitalization irrespective of type of treatment was 9.6 days. In conclusion it can be said that definitive surgery has no mortality, lower complication rate and short duration of hospital stay with excellent follow up results as compared to the other modalities of treatment.