Department of Surgery, 534313NSCB Government Medical College, Jabalpur, India.
Trop Doct. 2022 Jul;52(3):440-443. doi: 10.1177/00494755221101239. Epub 2022 May 16.
Giant prepyloric perforation ( size > 2 cm) is a challenging surgical problem; options include repair with an omental patch or an omental plug. Alternative methods are more complicated. However, the leak rate and mortality is unacceptably high. This prompted us to combine the omental plug and patch for an effective repair. We present a case series of five patients repaired in this fashion, all of whom had an uneventful recovery, except for one who had a superficial abdominal wound dehiscence, but there was neither post-operative leak nor mortality. The mean hospital stay was 12 days.
巨大的胃前穿孔（>2cm）是一个具有挑战性的外科问题；可选择使用大网膜片或大网膜塞进行修补。替代方法更为复杂。然而，漏诊率和死亡率高得令人无法接受。这促使我们将大网膜塞和大网膜片联合用于有效的修复。我们介绍了五例以此种方式修复的患者病例系列，除了一例患者出现腹部伤口浅表裂开外，所有患者均恢复顺利，且无术后漏诊或死亡。平均住院时间为 12 天。
