Is there a role of abdominal drainage in primarily repaired perforated peptic ulcers?

Abstract

To compare the survival and post-op complications following primary closure of perforated peptic ulcer by omental patch technique in 4 groups of patients as follows: two-drain group, one-drain subhepatic group, one-drain pelvic group and nodrain group.

Is Prophylactic Drainage of Peritoneal Cavity after Gut Surgery Necessary?: A Non-Randomized Comparative Study from a Teaching Hospital

“…These observations are consistent with previous reports [18]. The present study also observed one case of small intestinal obstruction (IO).…”

“…Proper and through peritoneal lavage are doing equally good as observed in this study. This finding is in agreement with previous studies [12][13][14][15][16]18].…”

“…So, we could comment about the further course of treatment of this patient. This finding is consistent with earlier reports in which the intestinal obstruction was observed using drain in peptic ulcer perforation peritonitis [10,18]. These observations support that abdominal surgery without drain can avoid these complications.…”

“…There was increase length of postoperative hospital stay, duration of operation, and rate of wound infection in drain group in the study and the difference is statistically significant (p<0.001), which is in agreement with a previous studies [7][8][9][10][11]18].…”

“…Even several well-constructed prospective studies also have failed to show any benefit from surgically placed prophylactic drainage in secondary bacterial peritonitis due to peptic ulcer perforation [12,18] simple acute and complicated appendicitis [13][14][15][16]. This suggests at best that routine placement of intra peritoneal prophylactic drain is unnecessary.…”