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Plication of Perforated Peptic Ulcer

  • Georgios Tsoulfas
Chapter

Abstract

Perforated duodenal ulcer. ESSENTIAL STEPS 1. Upper midline incision. 2. Culture and aspirate any peritoneal fluid. 3. Explore the abdomen with special attention to the stomach and duodenum and identify perforation. 4. Place interrupted sutures across margins of perforation. 5. Bring healthy omentum over the defect and secure in place by tying previously placed sutures. 6. Lavage the peritoneal cavity with large volumes of normal saline. 7. Check position of the nasogastric tube. 8. Check hemostasis. 9. Close the abdomen.

Keywords

Duodenal Ulcer Peritoneal Cavity Nasogastric Tube Peritoneal Fluid Midline Incision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of SurgeryAristoteleion University of ThessalonikiThessalonikiGreece

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