A Comparative Study between Figure of Eight Suturing Technique and Omentopexy in Closure of Peptic Ulcer Perforationin a Rural Medical College of Karnataka
Journal Title: New Indian Journal of Surgery - Year 2019, Vol 10, Issue 1
Abstract
Background: Figure of 8 techniques has been described in the literature for peptic ulcer perforation repair especially when the patient comes late, when the edges of the ulcer and the wall of duodenum are very friable. Methods: Sixty patients included in the study at AIMS, B G Nagar, Bellur Cross were divided into two groups after randomization. Study group, patients underwent figure of eight suturing technique and Control group, patients underwent Grahm’s technique of omentopexy for peptic ulcer perforation. Results: The mean age of the study group was 48.7+ 7.56 Years and 49.6+8.69 years among the control group. In the Study group nearly 29 (96.6%) male and 1 (3.3%) female. Among the Control group 27(90%) males and 3 (10%) Females were included in the study. The Mean APACHE II score in the study group was 3.8+ 1.8 and in the control group it was 3.6+ 1.3 with p value found to be statistically not significant between the groups. The mean operative time in the control group was 76.65 min in study group and 73.58 min in control group. Bile Leak was in 2 (6.6%) in study group and 1 (3.3%) in control group. Septicemia was seen in 6.6% in study group and 10% in Control group. The commencement of oral Feed was started after 5.5 days in study group and 5.13 days in control group. The Mean hospital stay was 12.6 days in both the study and control group. Conclusions: The present study is non-inferior than omentopexy in terms of post-operative complications. It can be used as a safe alternative to omentopexy especially when the patient comes late.
Authors and Affiliations
C. S. Hanumanthaiah
Keywords
Related Articles
- EP ID EP594117
- DOI 10.21088/nijs.0976.4747.10119.5
- Views 84
- Downloads 0
Ajay Kumar
andard for surgical treatment of PUJ obstruction. Over the last two decades the treatment approach to PUJ obstruction has evolved from open pyeloplasty to various minimally invasive procedures. Laparoscopic pyeloplasty h...
Presentation & Clinical Outcome of Inguinal Hernia in Elderly Adults in 5th Decade or Later: A Prospective Descriptive Study!
Aim: To evaluate the presentation and clinical outcome of inguinal hernias in patients in their fifth decade or later. Objective: To analyze inguinal hernia in the subset of elderly adults with respect to the type of i...
The Characteristics of routine Histopathological Examination of Appendicectomy Specimen: A Study from a Tertiary Care Centre
Acute appendicitis is one of the most common diseases, needing surgical intervention at its time of presentation. A histologic basis on diagnosis is essential in further workup and management of the patient in view of pr...
A Prospective Study of a Cost-Effective Method for Prevention of Incisional Hernia in Subcostal and Lumbar Incisions by Use of Nylon Loop, Intermittent Mass Closure
Background and Objective: Occurrence of incisional hernia in subcostal incisions (used mainly for open cholecystectomy and liver surgery) and lumbar incisions (used mainly for nephrectomy and pyelolithotomy) is relativel...
A Randomized Controlled Comparative Study of Laparoscopic CBD Exploration and Cholecystectomy with Endoscopic Stone Extraction and Cholecystectomy for Choledocholithiasis
With the advent of ERCP in 1974 it provided an alternative to CBDE. The CBD calculi could be removed endoscopically and subsequently only a cholecystectomy needed to be performed. Thus ERCP with Endoscopic sphincterotomy...