376355

OMENTAL PLUG TECHNIQUE IN THE TREATMENT OF A LARGE PERFORATED PEPTIC ULCER (EXPERIMENTAL AND APPLIED STUDY)

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Last updated: 05 Jan 2025

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Abstract

The immediate definitive operations for perforated peptic ulcer is never entirely safe. The present study was conducted on 20 patients presented with large perforated peptic ulcer and 10 dogs where large hole in their stomach was done 
experimentally. The patients and dogs were treated by omental plug technique. Twelve patients presented with perforated duodenal ulcer and 8 with gastric ulcer. In the applied part , the overall morbidity rate was 20%. The plug in the patients of perforated duodenal ulcer disappeared on the 4th postoperative day in 7 out of 12 patients but in perforated gastric ulcer disappeared on the 5th day in 6 out of 8 patients, there was neither re-perforation nor leakage. After 24 months of follow up for 18 patients , 4 patients (22.2%) were cured , 9 patients (50%) responded well to medical treatment and 5 patients (27.8%) continued to complain of ulcer symptoms and needed definitive surgery. After 8 weeks in experimental part, by gross examination the omental plug merged with the serosal surface of the stomach and the gastric hole disappeared without discontinuity of the mucosa and by histologic examination , few bundles of smooth muscle fibres were seen within the site of omental plug in all dogs. We conclude that, the omental plug technique is simple, excellent and life saving procedure but it has limited value to patient in terms of definitive cure. 

DOI

10.21608/ejsur.2001.376355

Keywords

Peptic ulcer, omental plug, Applied, experimental

Authors

First Name

Gamal

Last Name

I. Moussa

MiddleName

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Affiliation

Departments of Surgery, Faculty of Medicine, Tanta University, Egypt.

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Orcid

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First Name

Abd El Wahab

Last Name

H.Gad

MiddleName

-

Affiliation

Departments of Surgery, Faculty of Medicine, Tanta University, Egypt.

Email

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Orcid

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First Name

Osama

Last Name

H. El Khadrawy

MiddleName

-

Affiliation

Departments of Surgery, Faculty of Medicine, Tanta University, Egypt.

Email

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City

-

Orcid

-

First Name

Mahmoud

Last Name

M. Abdulrazeck

MiddleName

-

Affiliation

Departments of Surgery, Faculty of Medicine, Tanta University, Egypt.

Email

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City

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Orcid

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First Name

Fersan

Last Name

A. Sallam

MiddleName

-

Affiliation

Pathology, Faculty of Medicine, Tanta University, Egypt.

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Orcid

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Volume

20

Article Issue

3

Related Issue

50030

Issue Date

2001-07-01

Receive Date

2024-08-27

Publish Date

2001-07-01

Page Start

638

Page End

643

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_376355.html

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https://ejsur.journals.ekb.eg/service?article_code=376355

Order

376,355

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

OMENTAL PLUG TECHNIQUE IN THE TREATMENT OF A LARGE PERFORATED PEPTIC ULCER (EXPERIMENTAL AND APPLIED STUDY)

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Article

Created At

21 Dec 2024