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Original ArticleOpen Access
Surgery for Perforated Peptic Ulcers at Prachomklao Hospital
Somboonpanya P 
The results of surgical treatment of perforated peptic ulcers in 330 patients, during the 12
year period from October 1989 to September 2001, were analysed. One hundred and ninety two
patients were treated by simple closure and 138 patients by definitive surgery. There were no diffe-
rences in age incidence, occupation, state of shock upon admission and duration of symptoms be-
tween the two groups. Complication rates were 30.21 and 19.57 per cent in simple closure and the
definitive surgery group respectively. Mortality rate was 1.56 per cent in simple closure and no death
in the definitive surgery group. Thirty-four patients in the simple closure group required definitive
surgery subsequently for repeated perforation.
It
may be concluded that, except for perforation of
acute duodenal ulcer, definitive surgery should be the treatment of choice in patients with a perforated
peptic ulcer. Parameters used to decide whether to perform definitive surgery include the patient's
condition and experience of the surgeon and surgical team.
Key word
: Perforated Peptic Ulcers, Surgery
year period from October 1989 to September 2001, were analysed. One hundred and ninety two
patients were treated by simple closure and 138 patients by definitive surgery. There were no diffe-
rences in age incidence, occupation, state of shock upon admission and duration of symptoms be-
tween the two groups. Complication rates were 30.21 and 19.57 per cent in simple closure and the
definitive surgery group respectively. Mortality rate was 1.56 per cent in simple closure and no death
in the definitive surgery group. Thirty-four patients in the simple closure group required definitive
surgery subsequently for repeated perforation.
It
may be concluded that, except for perforation of
acute duodenal ulcer, definitive surgery should be the treatment of choice in patients with a perforated
peptic ulcer. Parameters used to decide whether to perform definitive surgery include the patient's
condition and experience of the surgeon and surgical team.
Key word
: Perforated Peptic Ulcers, Surgery
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