Role of Abdominal Drains in Perforated Duodenal Ulcer Patients: A Prospective Controlled Study

Abstract

The routine use of drains was found to be neither safe nor effective in patients of perforated duodenal ulcer treated by omental patch closure.

Comparative Evaluation of Graham’s Omentopexy Versus Modified Graham’s Omentopexy in Perforated Duodenal Ulcers

“…17 Mortality rate in literature varies with the range of 6.5 -20%. 18 In our series hospital stay was 11.5 days in group A Graham's omentopexy and 10.0 days in group B modified Graham's omentopexy similar in other series the average hospital stay was 9 ± 1.2 days. 16 The hospital stay varies with the size of perforation, duration of illness and the condition of the patient on arrival.…”

Spectrum of nontraumatic perforation peritonitis: a prospective study of 277 cases with special reference to morbidity and mortality

“…Drains were found to cause morbidity including intestinal obstruction. The routine use of drains was found to be neither safe nor effective in patients of perforated duodenal ulcer treated by omental patch closure 13 . By contrast, a mixed bacterial flora was responsible for most infections following appendicectomy for gangrenous or perforated appendicitis, irrespective as to use of a drain.…”

Drainage of Abdomen in Peritonitis Due to Gastrointestinal Perforations, Comparison between Tube drain and Corrugated Drain

“…[1,3] Most common are -pyloric or pre-pyloric perforation or ileum perforation or large bowel perforations. [19] Patients do come late at the tertiary centre that leads to massive contamination of peritoneal cavity leading to thick pus adhesions and flakes in the abdominal cavity. [18] So, thick pus, flakes are not drained effectively by tube drains as they tend to cause blockage of tube drain or pores present in the tube drain.…”