Retrospective Study of Open Surgical Suture for Duodenal Ulcer Perforation in 8 Years

Journal Title: New Indian Journal of Surgery - Year 2019, Vol 10, Issue 3

Abstract

Du perforation is common complication of PUD. Patients needs prompt resuscitation and surgical suturing of perforation. Mortality rate [1] is 15.2% and morbidity [1] is 5.2%. But mortality is low in early diagnosis & prompt treatment. Again operative outcome depends on skill, experience and procedure. Materials: This is retrospective study in Jorhat Medical College & Hospital where total 75 numbers of patients from January 2010 to December 2017 were analysed to evaluate effective and save open surgical suture. Result: In one layer repair two patients had bile leak and both expired. 3 patients had symptoms of APD. In one layer suture two patients had bile leak and both died. Definitive surgery is always restricted to its complication. In follow up, three patients were assessed to have clinical feature of APD. It responded to PPI. Laparoscopic repair has no provent advantage in PPU. Mean Age is 39.61 in Group A and 36.37 in Group B. Standard Deviation is ± 3.09 in Group A and ± 5.86 in group B. Chi-Square Test is 4.022 and P-value is 0.0525. So P value is just significant at 5% or not significant. Gender is not related to age for diseases as P-value is high. Conclusion: Two layer open surgical suture in PPD is found safe and secured than one layer suture.

Authors and Affiliations

Sadagar Deuri

Keywords

Related Articles

Efficacy of Ultrasound Guided Hydrostatic Reduction of Intussusceptions in Children

Aim: To study the efficacy of hydrostatic reduction of childhood intussusception using normal saline under US guidance. Materials and Methods: This prospective study was conducted over a period of 3 years from February 2...

Mosquito Net: A Cost Effective Alternative to Prolene Mesh for Inguinal Hernia Repair

Context: Hernioplasty with use of synthetic mesh is the gold standard for Inguinal hernia repair. However high cost of synthetic mesh is the limiting factor for its use in poor resource countries. This is a study of use...

Non Operative Management of Sealed Off Peptic Ulcer Perforation: A Clnical Study at a Rural Institute

The most common cause of Peptic ulcer perforation is ulcer disease. In a perforation (1) which appears to have sealed itself already, as shown by diminished pain and improved abdominal signs. (2) Heart or lung disease,...

Prevalence of Helicobacter Pylori in Patients with Peptic Ulcer Disease Undergoing Upper Gastrointestinal Endoscopy in A Rural Medical College

Introduction: Up to 85% of people infected with H. Pylori never experience symptoms or complications. Acute infection may appear as an acute gastritis with abdominal pain or nausea. Where this develops into chronic gastr...

A Study of Day Case Urology in Children: Our Experience

Aim: To analyse the day care urologic surgery cases in various paediatric surgical units in tertiary care centers in Bhopal. Material and Methods: This is a retrospective study; we reviewed the data of all urologic patie...

Download PDF file
  • EP ID EP594861
  • DOI 10.21088/nijs.0976.4747.10319.14
  • Views 66
  • Downloads 0

How To Cite

Sadagar Deuri (2019). Retrospective Study of Open Surgical Suture for Duodenal Ulcer Perforation in 8 Years. New Indian Journal of Surgery, 10(3), 311-314. https://europub.co.uk/articles/-A-594861