Abstract

With the introduction of H2 receptor antagonists and proton pump inhibitors, the incidence of elective surgery for peptic ulcer diseases have decreased, although complications of peptic ulcer such as perforation and bleeding have remained fairly constant. AIMS AND OBJECTIVES To identify the risk factors that predict the morbidity and mortality in perforated Gastro duodenal ulcer and to assess postoperative complications in patients with Gastro duodenal ulcer perforation. MATERIALS AND METHODS 50 patients who underwent surgery (simple closure with omental patch) and laparoscopic closure for perforated Gastro duodenal ulcer admitted in S.Nijalingappa medical college and H.S.K Hospital, Bagalkot were studied from December 2011 to June 2013 were included in the study group. The following factors were analyzed in terms of morbidity and mortality: age, gender, associated medical illness, chronic ingestion of NSAIDs, alcohol ingestion and smoking habits, pre operative shock, delay in surgery (>24 hours), site and size of ulcer perforation and type of peritoneal contamination. Postoperative complications like wound infection, wound dehiscence, intra-abdominal abscess pleural effusion, septicemia, respiratory infections and renal failure were assessed.

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