COMPARATIVE STUDY BETWEEN GRAHAM'S OMENTOPEXY AND MODIFIEDGRAHAM'S OMENTOPEXY IN TREATMENT OF PERFORATED DUODENAL ULCERS

International journal of scientific research Pub Date : 2024-05-01 DOI:10.36106/ijsr/8601354

Sudhanshu Sharma, Amal Mariyadas K. Boobily, Arbab Zaman

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Abstract

Background- Peptic ulcer perforation is an emergency and requires urgent surgical treatment. Due to in aberrant use of NSAID and high smoking habits among the Indian population, frequency of peptic perforation is on the rise. Objective- This study is aimed at comparing success rate between Graham's omentopexy (GO) and modied - Graham's omentopexy (MGO) as an emergency management technique for duodenal perforation. Patients and methods- A prospective study was carried out for 1 year with 90 patients. GO was done in 50 patients and 40 patients underwent MGO between January 2023 and January 2024 in the Department of Surgery, Rajkiya Medical college Orai, Jalaun UP. Data regarding age, sex, time elapsed between onset of symptoms and hospital admission, comorbid diseases, morbidity, and mortality were recorded. ResultsMGO was associated with longer operative time. Mean hospital stay in GO group is higher than MGO group. Conclusion- Graham's patch repair is as effective as modied- Graham's patch repair in terms of morbidity and mortality. There is no statistically signicant difference in undergoing either procedure for repair.

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格拉汉姆网膜切除术与改良格拉汉姆网膜切除术治疗十二指肠溃疡穿孔的比较研究

背景- 消化性溃疡穿孔是一种急症，需要紧急手术治疗。由于印度人滥用非甾体抗炎药和大量吸烟，消化性溃疡穿孔的发生率正在上升。目的--本研究旨在比较作为十二指肠穿孔急诊处理技术的格雷厄姆网膜剥脱术（GO）和改良格雷厄姆网膜剥脱术（MGO）的成功率。患者和方法--对90名患者进行了为期一年的前瞻性研究。2023年1月至2024年1月期间，50名患者接受了GO手术，40名患者接受了MGO手术。记录了患者的年龄、性别、从发病到入院的时间、合并症、发病率和死亡率。结果MGO的手术时间更长。GO组的平均住院时间高于MGO组。结论--就发病率和死亡率而言，Graham补片修补术与改良Graham补片修补术（ed Graham's patch repair）同样有效。从统计学角度看，两种修补术的差异并不。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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International journal of scientific research

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