E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy

Rajneesh Kumar, Jaspreet Singh Walia, Ankita Attri, Sahil Singh, Subhash Goyal.

Abstract
Background: Duodenal and Gastric perforations are one of the most common causes of peritonitis and
lead to major postoperative complications. If these post-operative complications are reduced, that can lead to an
improvement in morbidity and mortality. In Perforation because of peptic ulcer, different modalities of treatment varies
from conservative management, simple closure of ulcer, ulcer closure with omentum, jejunal serosal patch, definitive
treatment with truncal vagotomy and drainage procedures or parietal cell vagotomy, laparoscopic repair and NOTES
omental repair. Methods: The study was conducted in 60 patients of peptic ulcer perforation. Out of these 60 patients: 30
patients (group A) underwent Grahmís patch repair with omentopexy, and other 30 patients (group B) underwent omental
plugging with omentopexy, and this procedure is different from modified Grahmís patch. The outcome of procedures
was done in term of complication like bile leakage, wound infection, respiratory infection, intra-abdominal abscess, burst
abdomen/ gastric outlet obstruction and mortality. Results: Peptic ulcer perforation shows male predominance over
female. Was vividly demonstrated by incidence of 25 males (83.33%) and 5(16.66%) female in group A where as in Group
B incidence of disease was 24 males (80.0%) and 6 (20.0%) were females. No statistical difference between two groups.
Mean age in group A was 46.80 Ī 13.9 years and group B was 48.60 Ī 14.04 years. Biliary leak was seen in 4 cases of
Grahmís patch with omentopexy whereas no leak was seen in omental plugging with omentopexy. Wound infection and
mortality were also significantly high in Grahmís patch group in comparison to omental plugging with omentopexy.
Conclusion: Analysis of results of present study showed that omental plugging with omentopexy has tremendous scope
over Grahmís patch with omentopexy in terms of morbidity and mortality.

Key words: Perforated peptic ulcer, Grahmís patch, plugging, omentopexy


 
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How to Cite this Article
Pubmed Style

Kumar R, Walia JS, Attri A, Singh S, Goyal S. Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy. Int J Surg Med. 2020; 6(6): 1-5. doi:10.5455/ijsm.2020-02-07


Web Style

Kumar R, Walia JS, Attri A, Singh S, Goyal S. Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy. http://www.ejos.org/?mno=88073 [Access: January 01, 2021]. doi:10.5455/ijsm.2020-02-07


AMA (American Medical Association) Style

Kumar R, Walia JS, Attri A, Singh S, Goyal S. Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy. Int J Surg Med. 2020; 6(6): 1-5. doi:10.5455/ijsm.2020-02-07



Vancouver/ICMJE Style

Kumar R, Walia JS, Attri A, Singh S, Goyal S. Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy. Int J Surg Med. (2020), [cited January 01, 2021]; 6(6): 1-5. doi:10.5455/ijsm.2020-02-07



Harvard Style

Kumar, R., Walia, . J. S., Attri, . A., Singh, . S. & Goyal, . S. (2020) Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy. Int J Surg Med, 6 (6), 1-5. doi:10.5455/ijsm.2020-02-07



Turabian Style

Kumar, Rajneesh, Jaspreet Singh Walia, Ankita Attri, Sahil Singh, and Subhash Goyal. 2020. Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy. International Journal of Surgery and Medicine, 6 (6), 1-5. doi:10.5455/ijsm.2020-02-07



Chicago Style

Kumar, Rajneesh, Jaspreet Singh Walia, Ankita Attri, Sahil Singh, and Subhash Goyal. "Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy." International Journal of Surgery and Medicine 6 (2020), 1-5. doi:10.5455/ijsm.2020-02-07



MLA (The Modern Language Association) Style

Kumar, Rajneesh, Jaspreet Singh Walia, Ankita Attri, Sahil Singh, and Subhash Goyal. "Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy." International Journal of Surgery and Medicine 6.6 (2020), 1-5. Print. doi:10.5455/ijsm.2020-02-07



APA (American Psychological Association) Style

Kumar, R., Walia, . J. S., Attri, . A., Singh, . S. & Goyal, . S. (2020) Closure of peptic ulcer perforation by Grahmís patch with omentopexy versus plugging with omentopexy. International Journal of Surgery and Medicine, 6 (6), 1-5. doi:10.5455/ijsm.2020-02-07