Modified Graham's Patch Repair Versus Graham's Patch Repair for Treatment of Perforated Peptic Ulcer in Terms of Postoperative Morbidity / Mortality

Fatima Kamran Khan; Mahin Shah; Irfan Ali Sheikh; Khalid Mahmood; Neelofur Hassan

doi:10.51253/pafmj.v72i1.7500

Authors

Fatima Kamran Khan Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Mahin Shah Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Irfan Ali Sheikh Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Khalid Mahmood Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Neelofur Hassan Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i1.7500

Keywords:

Graham’s Omentopexy, Modified Graham’s Omentopexy, Omental patch, Peptic Ulcer disease, Peptic perforation

Abstract

Objective: To compare the surgical procedures; graham’s patch repair and modified graham’s patch repair for the treatment of perforated peptic ulcer in terms of their post-operative morbidity and mortality.

Study Design: Comparative cross-sectional study.

Place and duration of study: Combined Military Hospital Rawalpindi, from May 2020 to Apr 2021.

Methodology: We conducted the study on 60 subjects divided into groups of two, (Group A and Group B) selected via convenience sampling. Group A underwent Graham’s repair and Group B underwent modified Graham’s repair. The morbidity and mortality of both the groups was compared statistically with data analysis done using SPSS-23.

Results: The average operating time and hospital stay was 84.93 ± 7.06 minutes and 7.3 ± 1.63 days for group A and 96.9 ± 9.67 minutes and 7.56 ± 2.27 days for group B, respectively. For both groups, there was no significant association to any complications (p>0.05).

Conclusion: Graham’s repair and modified Graham’s repair are equally effective leaving the decision to the surgeon's preference. We however recommend using Graham’s repair in unstable patients.