BENEFITS AND LIMITATIONS OF DRAINS AFTER PEPTIC ULCER PERFORATION REPAIR –COMPARISON OF COMPLICATIONS IN THREE GROUPS AT A TERTIARY CARE HOSPITAL .

Zaheer Ahmed, Muzzafar Zaman, Kunal Chowdhary, Rahul Yadav

Abstract


Background: Peptic  ulcer perforation is an emergency and requires urgent surgical intervention. Nowadays ,several modalities of treatment are available ranging from conservative treatment to laparoscopic repair of the perforation.

Aim: To compare the post-op complications following omental patch  closure of perforated peptic ulcer in 3 groups of patients as follows:  no drain group, one-drain subhepatic group, one-drain pelvic group.

 Methods: This study was conducted in department of surgery on 90 patients presenting with peptic perforation in last three years. All  the patients with pyloroduodenal perforation  were included in the study.

Results: Out of 90 cases there were 80 male patients and 10 female patients . Post-operative complications were  similar in the no-drain group as compared to other (drain) groups.

Conclusion: In summary, after  the surgery for perforated peptic ulcer  no drain placement is as good as one drain placement and sub-hepatic drain is more useful than the pelvic drain.


Keywords


pyloroduodenal perforation, Graham's patch, drains.

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References


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