Duration between perforation and operation affecting the prognosis duodenal ulcer perforation

ABSTRACT

To describe the effect of perforation-operation interval on the prognosis of perforated duodenal ulcer. This descriptive study was conducted in surgical units of Nishtar Hospital, Multan during the period of two year from January 2004 to December 2005. There were 100 patients in study. All patients were divided into three groups according to perforation operation interval. In 58% of patients surgery was performed after 24 hours. Overall mortality of 16% in 50 patients was observed who underwent surgery. Mortality occurred only in group-B and C. Increased interval between perforation and operation increases stay in hospital. Number of complications in patients presenting with delay were much more than in patients presenting early. Morbidity rises with delay. Patients with perforated duodenal ulcers should he operated on as soon as possible. Simple closure of perforation is simple and safe with relativity low mortality and short stay in hospital