Mar 15, 2019 Furthermore, our technique of omentopexy is different from omental patch techniques using uncut suture thread on top of the perforation closed by simple suture and knot tying. Figure of eight suturing and omental patch application plugged into the perforation could create a synergistic effect resulting in avoidance of iatrogenic traumatic. The usefulness of the omental patch has been emphasized to prevent suture tearing and perforation size enlargement by damaging the friable edges. 24 However, adding an omental patch requires technical skill and is time consuming; therefore, many techniques were invented to simplify the procedure, including a stapled omental patch, omental plug.
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The duodenum represents the first section of small intestine leading from the stomach. This wide section of the digestive system, shaped like a horseshoe, contains acids that break down food for use as nutrients by the human body. If too much acid exists, a sore might develop, called a duodenal ulcer or peptic ulcer. When the sore eats through the wall of the organ, it might cause peritonitis, inflammation linked to bacteria entering the stomach cavity.
Peritonitis sometimes indicates a medical emergency needing immediate surgery to prevent the patient from going into shock. The Graham patch technique might be performed via laparoscopic surgery, which may prove as successful as opening the abdomen, but generally produces a quicker recovery. In some cases, the Graham patch closes the perforation in an emergency situation, with peritonitis treated afterward with medication.
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Most peptic ulcers stem from H. pylori bacteria in the duodenum. Modern medicine led to the development of drugs to eliminate these bacteria and heal peptic ulcers, making the need for Graham patch repair less likely. Lifestyle choices, including the use of cigarettes and alcohol, might also cause ulcers. Stress might increase the risk of developing an ulcer, along with the use of nonsteroidal, anti-inflammatory drugs, such as aspirin and similar pain medication.
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