Title: A Comparative Study of Different Techniques Used For Closure of Peptic Ulcer Perforation at Tertiary Center in Western Rajasthan
Authors: Dr Mahendra Kumar Jalthania, Dr Sunder Kishor, Dr Ashok Kumar, Dr Rajendra Prasad, Dr Samay Singh
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.64
Abstract
Peptic ulcer perforation was found to be more common in the middle age, male, chronic Smokers and alcoholics. Among the common aetiological factors leading to peptic ulcer perforation are prolonged use of non steroidal anti inflammatory drugs (NSAIDs), or other drugs causing gastro-duodenal mucosal injury or pre-existing peptic ulcer disease. preoperative shock and long standing perforation (more than 48hr) are the risk factors that significantly contributed to mortality. Degree of peritoneal contamination was a major contributing factor in morbidity and mortality. Mostly cases had anterior wall duodenal perforation. Sudden release of gastric and duodenal contents into the peritoneal cavity through a perforation leads to a devastating sequence of event which, if not managed properly, is likely to cause death. The technique used in group C i.e. figure of 8 suture with application of omental patch over it was found to be more effective and reliable by the fact that it had lesser postoperative complications, no leakage, lesser hospital stay and no mortality as compared to other two groups. Thus, the technique of figure of 8 sutures should be used as a better surgical option in the treatment of perforated peptic ulcer.
