Abstract

The Selection Of Appropriate Technique For Repair Of Large Peptic Ulcer Perforations Is A Debatable Topic. Small Perforations Are Easily Managed By Placing An Omental Patch Over The Perforation, Famously Known As Modified Graham’s Patch Repair.Large Size Perforations (>1cm) Pose A Great Challenge Because They Need Different Operative Strategy And Associated With High Morbidity And Mortality Ranging Upto 30%. We Compare Omental Patch Repair With The Jejunal Serosal Patch Repair In Treating Such Perforations. This Is A Randomised, Prospective Study Conducted In Department Of Surgery, Government General Hospital, Anantapur In Between June 2022 And June 2023. 40 Patients Presenting Clinically As Perforated Peptic Ulcer, Confirmed By Investigations Were Selected. However, Criteria Of Size >1cm Was Decided Intra- Operatively. 20 Cases Were Treated By Omental Patch (Group A) And Other 20 By Jejunal Serosal Patch (Group B). Most Common Age Group In This Study Was 50-60 Years With Greater Incidence In Males. 32 (80%) Males And 8 (20%) Females.

Description