ABSTRACT
Introduction: There are many techniques for closure ofperforation and there is continuing debate in the literatureregarding the preferred surgical procedure for the patientwith a perforated peptic ulcer. Our objective is to comparethe efficacy and safety of figure of eight suturing techniquecoupled with pedicled omental graft repair versus conventionalomentopexy. In this study we proposed to either prove orreject the null-hypothesisMaterial and methods: The proposed study was conductedin Department of Surgery JJM medical college and BapujiHospital, Davangere. 50 patients included in the study weredivided into two groups after randomization; the groupsbeing patients undergoing figure of eight suturing coupledwith pedicled omental graft repair technique for pepticulcer perforation (SG) and patients undergoing conventionalomentopexy technique for peptic ulcer perforation (CG).Results: Majority of patients in this study were of group 15-30 years and 88% were males. Majority of cases had 2cmperforation (36 cases 72%) and most of the perforations werein first part of duodenum (58%). Complications were seenin 72% of patients, most common being wound infection(40%) and 4 patients in control group had bile leak (8%). Oralfeeding was started earlier in the study group as compared tocontrol group. The intra-operative time taken in study groupwas lesser than control group. The hospital stay was lesser instudy group.Conclusion: In conclusion, the present study is superior thanstandard omentopexy in terms of intra-operative time taken,bile leak, duration of hospital stay, commencement of oral feedand mortality. It can be used as a safe alternative to standardomentopexy. As with figure of eight suturing technique, lessertendency to cut through because the pressure at one point isdivided into two directions, and the pressure is exerted on fourpoints instead of two points