Abstract
First suggested for patients with perforated gastric ulcers in 1894, 1 Bennet W.H. A case of ruptured gastric ulcer successfully treated by immediate suture. Lancet. 1894; 2: 21-22 Abstract Scopus (4) Google Scholar omental patch closure of a perforated duodenal ulcer was popularized by Graham in 1937 2 Graham R.R. The treatment of perforated duodenal ulcers. Surg Gynecol Obstet. 1937; 64: 235-238 Google Scholar and has remained a surgical mainstay. Over time and before the descriptions of Helicobacter pylori, H2-receptor antagonists, and proton-pump inhibitors, omental patch closure was one of the 4 operations used to treat perforated gastroduodenal ulcers. These included gastrectomy for perforated gastric ulcers and truncal vagotomy and pyloroplasty, truncal vagotomy and resection, and proximal gastric vagotomy with omental patch closure for perforated duodenal ulcers. 3 Feliciano D.V. Surgical options and results of treatment of perforated ulcers. Problems Gen Surg. 1987; 4: 301-307 Google Scholar , 4 Feliciano D.V. Do perforated duodenal ulcers need an acid-decreasing surgical procedure now that omeprazole is available?. Surg Clin N Am. 1992; 72: 369-380 PubMed Google Scholar , 5 Jordan Jr., G.L. DeBakey M.E. Duncan Jr., J.M. Surgical management of perforated peptic ulcers. Ann Surg. 1974; 179: 628-633 Crossref PubMed Scopus (49) Google Scholar These “definitive” operations were used from the 1940s to the 1990s because of the following problems or limitations of omental patch closure as follows: (1) technical difficulties in patching gastric or large duodenal perforations; (2) early reperforation or bleeding; (3) recurrent symptoms (73% of patients) postoperatively 5 Jordan Jr., G.L. DeBakey M.E. Duncan Jr., J.M. Surgical management of perforated peptic ulcers. Ann Surg. 1974; 179: 628-633 Crossref PubMed Scopus (49) Google Scholar ; (4) late reperforation (9% of patients) 6 Griffin G.E. Organ Jr., C.H. The natural history of the perforated duodenal ulcer treated by suture plication. Ann Surg. 1976; 183: 382-385 Crossref PubMed Scopus (46) Google Scholar ; and (5) a large number of reoperations (48% of patients). 7 Skovgaard S. Late results of perforated duodenal ulcer treated by simple suture. World J Surg. 1977; 1: 521-526 Crossref PubMed Scopus (12) Google Scholar Enhanced postoperative recovery pathways in emergency surgery: a randomised controlled clinical trialThe American Journal of SurgeryVol. 207Issue 6PreviewEnhanced recovery pathways are now widely used in elective surgical procedures. The feasibility of enhanced postoperative recovery pathways in emergency surgery for perforated peptic ulcer disease was investigated in this randomized controlled clinical trial. Full-Text PDF
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