Generalized Peritonitis Requiring Re-operation After Leakage of Omental Patch Repair of Perforated Peptic Ulcer
2011

Generalized Peritonitis After Omental Patch Repair of Peptic Ulcer

Sample size: 422 publication Evidence: moderate

Author Information

Author(s): Hemmat Maghsoudi, Alireza Ghaffari

Primary Institution: University of Medical Sciences of Tabriz, Iran

Hypothesis

What are the outcomes and complications associated with omental patch repair of perforated peptic ulcers?

Conclusion

Peritonitis due to omental patch leakage can lead to significant morbidity and a high mortality rate.

Supporting Evidence

  • 4% of patients experienced generalized peritonitis after surgery.
  • The mortality rate was 29.4% among those with peritonitis.
  • Shock on admission and delayed surgery were significantly associated with increased mortality.

Takeaway

If a surgery to fix a stomach ulcer goes wrong, it can cause a serious infection that makes people very sick.

Methodology

Retrospective analysis of 422 patients who underwent omental patch repair for perforated peptic ulcers.

Potential Biases

Potential bias due to the single-institution study and the experience level of the surgical staff.

Limitations

The study is limited by its retrospective nature and the exclusion of patients with malignant disease or trauma.

Participant Demographics

Mean age was 60.6 years, with 70.6% male and 29.4% female participants.

Statistical Information

P-Value

0.04

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.4103/1319-3767.77243

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