Comparative Retrospective Study of Graham’s Repair vs Primary Repair with Omentoplasty in Small Duodenal Perforations

Title: Comparative Retrospective Study of Graham’s Repair vs Primary Repair with Omentoplasty in Small Duodenal Perforations

Authors: G D Yadav, Manjushree Sachan, Deepak Lohia, Ravi Lohani, Rohit Singh, Siddhant Singh

DOI: https://dx.doi.org/10.18535/jmscr/v5i3.202

Abstract

Duodenal perforation is the common cause of peritonitis .It is considered as one of the most catastrophic complications of duodenal ulcer⁵ .It is a common surgical emergency. Duodenal perforations greater than 2 cm in size are considered as large perforations⁵. Perforation is considered hazardous because of extensive duodenum tissue loss, friability of ulcer margins surrounding tissue inflammation sepsis due to peritonitis and poor general condition of patient. Giant perforations are technically difficult to repair due to complex anatomy of duodenum and marginal blood supply shared by pancreas. High intraluminal pressure, tendency of mucosa to extrude through suture line and autodigestive enzymes of pancreas and bile add to risk of breakdown of suture line.

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