Comparative Study between Omental patch and Omental Plugging

Giant peptic perforation is a life threatening surgical emergency with high mortality, but literature is silent on the exact definition, incidence, management and complications of giant perforations of peptic ulcers. The present study is a retrospective study comparing efficacy of omental plugging and omental patch in the repair of giant peptic perforation (≥2cm in diameter). This study was undertaken in the department of general surgery of Razi Hospital between 2012 and 2016. In 7 patients with giant peptic perforation(group A), omental plugging was done. In group A, mortality rate was 14.2% (1 patient). 5 patients with giant peptic perforation(group B) managed with omental patch that mortality rate was 100%. In our hospital, 85 patients had small peptic perforation(<2cm) (group c)that managed with omental patch. In these patients, mortality rate was 3.7%. Giant peptic perforations are rare but is associated with significantly higher mortality when compared to smaller perforations. Our results show that the mortality rate is lower in the omental plugging group, making it a better choice of technique for repair of giant perforations.