Omentopexy versus Falciformopexy for Management of Perforated Peptic Ulcer: A Prospective Non-Randomized Study | ||
| SVU-International Journal of Medical Sciences | ||
| Volume 8, Issue 2, July 2025, Pages 451-460 PDF (674.88 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2024.313280.1965 | ||
| Authors | ||
| Mahmoud Abdelhamed Mahmoud; Hager Ali Ali Mustafa* ; Mohamed Abdelshafy Mohamed; Ahmad Saada | ||
| Department of General Surgery, Faculty of Medicine, South Valley University, Qena, Egypt. | ||
| Abstract | ||
| Background: Peptic ulcer perforation (PUP) is a common surgical emergency with high mortality rate. The omentum, first used in 1937, remains a common treatment for PUP, though its use is limited in cases of severe peritonitis. The falciform ligament, introduced in 1978 as an alternative, has shown effectiveness in both open and laparoscopic surgeries, even for large perforations. Objectives: To evaluate the use of falciform ligament as a feasible alternative technique when the omentum cannot be used for the management of PUP. Patients and methods: This study was conducted at the Emergency Centre of Qena University Hospitals from January 1, 2023, to December 30, 2023, involved patients undergoing surgery for PPU. Complete preoperative evaluation was done. One group underwent omentopexy, and the other group underwent Falciformpexy. Patients were followed up for postoperative outcomes. Results: The mean age was 44.23 years. 53.33% were male. 55% had duodenal ulcer (55%). The mean perforation diameter was 0.92±0.26 cm. The Omentopexy group had 66.67% presenting late perforation while Falciformpexy group showed 50%. There were insignificant differences regarding, operative duration, hospital stay, and oral intake. The incidence of the leak was 10% in both groups, (p=0.99). Ileus occurred in 13.33% of the Omentopexy group compared to 6.67% of the Falciformpexy group (p=0.398). Pulmonary complications occurred in 23.33% of the Omentopexy group and 10% of Falciformpexy group (p=0.1715). Similarly, evisceration and wound infection showed no significant difference. Conclusion: Both surgical techniques proved to be effective and safe, offering viable options for the treatment of PUPs. | ||
| Keywords | ||
| Omentopexy; Falciformopexy; Peptic ulcer; Perforation | ||
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