COMPARATIVE STUDY BETWEEN GRAHAM'S OMENTOPEXY AND MODIFIEDGRAHAM'S OMENTOPEXY IN TREATMENT OF PERFORATED DUODENAL ULCERS

Abstract

Background- Peptic ulcer perforation is an emergency and requires urgent surgical treatment. Due to in aberrant use of NSAID and high smoking habits among the Indian population, frequency of peptic perforation is on the rise. Objective- This study is aimed at comparing success rate between Graham's omentopexy (GO) and modied - Graham's omentopexy (MGO) as an emergency management technique for duodenal perforation. Patients and methods- A prospective study was carried out for 1 year with 90 patients. GO was done in 50 patients and 40 patients underwent MGO between January 2023 and January 2024 in the Department of Surgery, Rajkiya Medical college Orai, Jalaun UP. Data regarding age, sex, time elapsed between onset of symptoms and hospital admission, comorbid diseases, morbidity, and mortality were recorded. ResultsMGO was associated with longer operative time. Mean hospital stay in GO group is higher than MGO group. Conclusion- Graham's patch repair is as effective as modied- Graham's patch repair in terms of morbidity and mortality. There is no statistically signicant difference in undergoing either procedure for repair.