Comparative study between Graham's omentopexy and modified-Graham's omentopexy in treatment of perforated duodenal ulcers

Background Peptic ulcer perforation is an emergency and requires urgent surgical treatment. In spite of rare incidence of elective surgery for duodenal ulcer, frequency of emergency operations is on the rise. Objective This study is aimed at comparing success rate between Graham's omentopexy (GO) and modified-Graham's omentopexy (MGO) as an emergency management technique for duodenal perforation. Patients and methods A prospective study was carried out for 2 years with 80 patients. GO was done in 40 patients and 40 patients underwent MGO between March 2015 and March 2017 in the Department of Surgery in Aswan University. Data regarding age, sex, time elapsed between onset of symptoms and hospital admission, comorbid diseases, morbidity, and mortality were recorded. Results MGO was associated with longer operative time, but the incidence of reperforation is less than GO. Mean hospital stay in GO group is higher than MGO group. Conclusion Graham's patch repair is as effective as modified-Graham's patch repair in terms of morbidity and mortality. There is no statistically significant difference in undergoing either procedure for repair.