GRAHM’S OMENTOPEXY IN CLOSURE OF PERFORATED DUODENAL ULCER
Keywords:
Omentopexy (Grahm’s patch), Perforated duodenal ulcer, NSAIDSAbstract
Objectives: The aim of this study was to evaluate the effectiveness of Grahm’s Omentopexy in closure of
perforated duodenal ulcer.
Material and Methods: In this descriptive study, 98 patients were included who presented to Surgical Units of
Khyber Teaching Hospital Peshawar and Medicare Hospital Peshawar from March 2006 to February 2009. Children
and patients with Firearm injuries or history of Previous Surgery were excluded from the study.
Results: Out of ninety eight patients, 81(82.65%) were male and 17 (17.34%) were female. Highest incidence was
found in patients with > 41years age [46(46.90%) patients]. Twenty three (23.42%) patients reached hospital within
24 hours of developing symptoms while 51.02 % reached within 24-48 hours. Seventy eight (78.57%) patients
presented with generalized abdominal pain and vomiting. Nearly 63% patients were having past history of peptic
ulcer disease. Around 36.28% patients were smokers and 10.78% were using NSAIDS for various reasons. In 68.36%
patients the size of Perforations was < 1cm. The patients were on nasogastric suction for 48 – 72 hours. In 80.65 %
patients sips were allowed on third day. The infection rate was found to be 25.56%. Sixty three (63.26%) patients had
uneventful recovery. Most of the patients (73.46%) were discharged on 6 th– 9 th day.
Conclusion: Omentopexy (Grahm’s patch) is simple , safe and easy procedure which can save the life of patient by
minimizing operative time , morbidity and mortality.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
