Comparative Study between Patients with Peptic Perforation Treated with Simple Repair of Perforation and Simple Repair Along with Definitive Surgery

Perforation of duodenal and gastric ulcer is by far the commonest surgical emergency needing operations in peptic ulcer disease. Though the incidence of duodenal ulcers is on the wane, yet perforations still constitute a significant percentage of acute ulcer related surgical emergencies. In our socio-economic conditions the relatively high incidence of peptic ulcers as compared to international figures can be explained by inaccessibility and inability to procure adequate drugs. This is reflected by the prevalence of perforations among the lower socio-economic group. Though definitive surgical treatment for acute perforations is highly effective in subsequent management of peptic ulcer, yet it has its inherent problems. Mostly increased operative time and surgical acumen are the chief factors making these definitive procedures a daunting task. The present dissertation aims to provide an insight into the relative efficacy of a simple closure of perforation vis--vis more definitive procedures, in respect to future ulcer recurrences and postoperative morbidity and mortality. Such type of study was not done before in tertiary care peripheral medical colleges of Indian Sub-continent on emergency basis operated patients.