Saudi Journal of Gastroenterology

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 17  |  Issue : 2  |  Page : 124--128

Generalized peritonitis requiring re-operation after leakage of omental patch repair of perforated peptic ulcer


Hemmat Maghsoudi, Alireza Ghaffari 
 Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran

Correspondence Address:
Hemmat Maghsoudi
The Sina Hospital, Azadi Street, P.O. Box 1548, Tabriz 5163639888, East Azarbaijan
Iran

Background/Aim: Peptic ulcer perforations are a common emergency, but available literature is silent on the exact definition, incidence, management, and complications of peritonitis due to omental patch leakage. Patients and Methods: Retrospective data were collected on 422 patients who underwent omental patch repair of perforated peptic ulcer between March 20, 1999 and March 20, 2006. The definitive diagnosis of perforated peptic ulcer and omental patch leakage was obtained at surgery. Results: Seventeen (4%) patients experienced generalized peritonitis due to omental patch leakage. Mean age was 60.6 years. Mortality rate was 29.4%, and the mean hospital stay was 23.6 days. Delay in surgical approach, shock on admission, and age were all significantly associated with increased mortality. Conclusions: Peritonitis due to omental patch leakage can result in significant morbidity and mortality. The most common causes of omental patch leakage and operative procedures were unknown and reinsertion of omentum, respectively. Factors such as shock on admission or delayed surgery, have significantly contributed to fatal outcomes and need careful attention.


How to cite this article:
Maghsoudi H, Ghaffari A. Generalized peritonitis requiring re-operation after leakage of omental patch repair of perforated peptic ulcer.Saudi J Gastroenterol 2011;17:124-128


How to cite this URL:
Maghsoudi H, Ghaffari A. Generalized peritonitis requiring re-operation after leakage of omental patch repair of perforated peptic ulcer. Saudi J Gastroenterol [serial online] 2011 [cited 2022 Sep 27 ];17:124-128
Available from: https://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=2;spage=124;epage=128;aulast=Maghsoudi;type=0