Perforated Ulcer Treatment

Abstract

The perforated ulcers were treated by open gastrectomy or simple suture until 1937 then Graham introduced the method using a free omental graft, which is called the “Graham patch procedure” [1]. This procedure has long been a golden standard of surgical treatment for perforated peptic ulcers. The idea of laparoscopic treatment had arisen in the 1990s, and the comparison of superiority between laparoscopy and open surgery has long been discussed [2].

Mediastinal emphysema in the context of perforated gastric ulcer

“…If this would be detected then a follow up CT imaging of the thorax and abdomen with oral contrast would be able to differentiate the cause of the pneumomediastinum. In terms of surgical management perforated peptic ulcer would be operated by the general oncall surgical team with the commonest procedure being either laparoscopic with laparotomy (if gross contamination is present) with omental patch repair[ 12 ]. However.…”