The results of perforated peptic ulcer surgery; a single center experience of 86 patients
Volkan Oter1, Metin Yalcin2, Mehmet Tolga Kafadar2, Serdar Oter3
1Sakarya University, Faculty of Medicine, Department of Department of Gastroenterological Surgery, Sakarya, Turkey
2Health Sciences University Mehmet Akif Inan Training and Research Hospital Department of General Surgery, Sanliurfa, Turkey
3Mersin University Faculty of Medicine, Department of Gastroenterological Surgery, Mersin Turkey
Aim: At the present time, eradication of the Helicobacter pylori infection is dramatically reduced the risk of the peptic ulcer disease. Whereas, complication rate of the peptic ulcer, such as perforations or bleedings have not been reduced significantly yet.
The aim of the current study is to analyze the surgical treatment outcomes of our experiences in 86 patients with peptic ulcer perforation.
Material and Methods: Between January 2012 and December 2017, 86 patients who were operated emergently for perforated peptic ulcer disease with Graham’s omental patch procedure in our hospital were included in this study. Demographic, clinical data, diagnostic studies, surgical procedures, operative findings, postoperative complications and patient follow-up were analyzed.
Results: The mean age was 41.57±16.09 years. Out of 86 cases there were 65 (75.6%) male patients and 21 (24.4%) female patients. The mean operation time was 66.98±18.61 minutes. The mean hospital stay period was 7.95±2.02. In three months of follow-up period, endoscopy was done to all of these patients and peptic ulcer disease was not seen in any of them.
Conclusion: Our findings revealed that Graham’s omental patch repair is still a useful method for perforated peptic ulcer disease. Low complication rates, low duration of hospital stay and also low postoperative morbidity can be achieved with good preoperative and postoperative supportive care in open surgery for peptic ulcer perforation. Laparoscopic surgery should be performed only in the presence of experienced surgeon and also in the presence of sufficient laparoscopic materials.