Comparative study between omentopexy and omental plugging in treatment of giant peptic perforation

Mukhopadhyay, Madhumita ; Banerjee, Chirantan ; Sarkar, Sabyasachi ; Roy, Debabrata ; Rahman, Quazi M (2011) Comparative study between omentopexy and omental plugging in treatment of giant peptic perforation Indian Journal of Surgery . ISSN 0972-2068

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Official URL: http://www.springerlink.com/content/uj324v2rl22v14...

Related URL: http://dx.doi.org/10.1007/s12262-011-0320-8

Abstract

Giant peptic perforation is a life threatening surgical emergency with high mortality.. This study aims to compare the success rate between omental plugging and standard omentopexy in the emergency management of giant perforations. A prospective non-randomized study of 23 patients with giant peptic perforation (≥ 2 cm in diameter) was carried out over a period of 18 months. The highest incidence was seen in the age group of 41-50 years. Intestinal fistula occurred in 23.08% of the omentopexy group compared to none in the omental plugging group. The mean hospital stay was slightly higher in the omentopexy group. Three patients died in the omentopexy group post operatively after 24 h compared to none in the omental plugging group and this was statistically significant (p<0.05). Omental plugging is associated with lesser morbidity and mortality compared to omentopexy in the management of giant peptic perforations.

Item Type:Article
Source:Copyright of this article belongs to Springer.
Keywords:Giant Peptic Perforation; Omental Plugging; Omentopexy
ID Code:59308
Deposited On:06 Sep 2011 06:16
Last Modified:06 Sep 2011 06:16

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