Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran.
Saudi J Gastroenterol. 2011 Mar-Apr;17(2):124-8. doi: 10.4103/1319-3767.77243.
BACKGROUND/AIM: Peptic ulcer perforations are a common emergency, but available literature is silent on the exact definition, incidence, management, and complications of peritonitis due to omental patch leakage.
Retrospective data were collected on 422 patients who underwent omental patch repair of perforated peptic ulcer between March 20, 1999 and March 20, 2006. The definitive diagnosis of perforated peptic ulcer and omental patch leakage was obtained at surgery.
Seventeen (4%) patients experienced generalized peritonitis due to omental patch leakage. Mean age was 60.6 years. Mortality rate was 29.4%, and the mean hospital stay was 23.6 days. Delay in surgical approach, shock on admission, and age were all significantly associated with increased mortality.
Peritonitis due to omental patch leakage can result in significant morbidity and mortality. The most common causes of omental patch leakage and operative procedures were unknown and reinsertion of omentum, respectively. Factors such as shock on admission or delayed surgery, have significantly contributed to fatal outcomes and need careful attention.
背景/目的：消化性溃疡穿孔是一种常见的急症，但现有文献对网膜片渗漏引起腹膜炎的确切定义、发生率、处理和并发症仍未明确。
回顾性收集了 1999 年 3 月 20 日至 2006 年 3 月 20 日期间 422 例接受网膜片修补穿孔性消化性溃疡的患者数据。穿孔性消化性溃疡和网膜片渗漏的明确诊断是在手术中获得的。
17 例（4%）患者因网膜片渗漏发生弥漫性腹膜炎。平均年龄为 60.6 岁。死亡率为 29.4%，平均住院时间为 23.6 天。手术时机延迟、入院时休克和年龄均与死亡率升高显著相关。
网膜片渗漏引起的腹膜炎可导致严重的发病率和死亡率。网膜片渗漏的最常见原因和手术操作分别是未知和网膜片重新插入。入院时休克或手术延迟等因素显著导致了致命结局，需要引起重视。
