Giant peptic ulcer perforation: Omentopexy versus omental plugging - A study

Giant peptic ulcer perforation is a life threatening surgical emergency with high mortality rate. This study compares two different surgical techniques Omentopexy and Omental plugging for the treatment of giant peptic perforation. A prospective non-randomized study of 36 patients with giant peptic perforation (>=2 cm in diameter) was carried out over a period of 24 months .The highest incidence was seen in males over 50 years of age. Biliary leak rates were 22.22% in the omentopexy group compared to no leak in the omental plugging group. This rate when calculated on standard error of proportion was significant at 5% level (p<0.05).Mortality rate was higher in omentopexy group compared to omental plugging group.