2018
DOI: 10.4103/ejs.ejs_61_18
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Comparative study between Graham’s omentopexy and modified-Graham’s omentopexy in treatment of perforated duodenal ulcers

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Cited by 6 publications
(7 citation statements)
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“…ERAS pathways can be used in emergency surgery cases where there is a risk of repair site leak in perforated duodenal ulcer. Hospital stay duration was significantly less in the early oral feeding group than the traditional postoperative care group, similar to previous studies [ 13 , 18 ]. Early oral feeding after perforated duodenal ulcer repair did not result in the repair site leak in any patients.…”
Section: Discussionsupporting
confidence: 90%
See 1 more Smart Citation
“…ERAS pathways can be used in emergency surgery cases where there is a risk of repair site leak in perforated duodenal ulcer. Hospital stay duration was significantly less in the early oral feeding group than the traditional postoperative care group, similar to previous studies [ 13 , 18 ]. Early oral feeding after perforated duodenal ulcer repair did not result in the repair site leak in any patients.…”
Section: Discussionsupporting
confidence: 90%
“…In our study, the repair technique was done per the operating surgeon's preference, and there were no differences noted in repair site leakage, consistent with previous studies [ 13 ]. However, two patients in our study presented with septic shock as referred cases received surgery and were admitted to the ICU postoperatively on ventilator support.…”
Section: Discussionsupporting
confidence: 87%
“…It is the first treatment of choice in early presentation of <12 h of PPU and when the patient is in shock (9,19,43) Recent studies in Africa continue to reveal that omentopexy still produces good results in patients with PPU (10-14). Graham's omentoplasty (plugging) and modified Graham's omental patch repair (omentopexy) are similarly effective repair in terms of morbidity and mortality (33)(34)(35). However, in several occasions with larger perforations the omental plugging seems a better choice to the omental patch reinforcement technique (omentopexy) (1,34,36,37).…”
Section: Operative Managementmentioning
confidence: 99%
“…Graham's omentoplasty (plugging) and modified Graham's omental patch repair (omentopexy) are similarly effective repair in terms of morbidity and mortality ( 33 35 ). However, in several occasions with larger perforations the omental plugging seems a better choice to the omental patch reinforcement technique (omentopexy) ( 1 , 34 , 36 , 37 ). A recent prospective study demonstrated a figure of eight primary closure with omental flap reinforcement to be more superior than Graham's omentoplasty (plugging) in terms of decrease leak rate in peptic perforations <2 cm in diameter ( 38 ).…”
Section: Managementmentioning
confidence: 99%
“…(8,9) Estos incluyen resección de la perforación con rodamiento de duodeno y antro gástrico en forma de gastrectomía parcial, conversión de la perforación en una piloroplastía, y una gastro-yeyuno anastomosis en omega de Braun, lo cual va ligado a una alta tasa de complicaciones durante el transoperatorio y posoperatorio. (10) En comparación dentro de los métodos quirúrgicos actualmente utilizados existe la comparación inminente entre un método menos invasivo como lo es el cierre laparoscópico, el cual se realiza por primera vez en 1990 con resultados exitosos. ( 11) Sin embargo, dicho procedimiento presenta indicaciones muy específicas como el tiempo de evolución de padecimiento y experiencia quirúrgica de cirujano quien realiza y procedimiento.…”
Section: Introductionunclassified