Omentopexy versus falciformopexy for peptic ulcer perforation

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dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidCicek, Egemen/ABH-3190-2020
dc.authorwosidcicek, egemen/HJY-0590-2023
dc.contributor.authorOlmez, Aydemir
dc.contributor.authorCicek, Egemen
dc.contributor.authorAydin, Cemalettin
dc.contributor.authorKaplan, Kuntay
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:10:00Z
dc.date.available2024-08-04T20:10:00Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND: Open or laparoscopic Graham's omentopexy is frequently used in the treatment of peptic ulcer perforation (PUP). The technical difficulty of applying the omental plug, especially in patients with previous omentum resection, has led to the use of falciform ligament for the PUP, and some studies have reported that PUP may even be a more advantageous technique than omentopexy. Here, in this study, we aimed to compare the retrospective results of patients who underwent falciformopexy or omentopexy for PUP. METHODS: Between 1999 and 2018, 303 patients who were followed-up and treated for PUP were included in this study. Patients who had malignancy, gastric resection, definitive ulcer surgery, laparoscopic surgery and nonoperative treatment were excluded from this study. In the remaining patients, either open ometopexy or falciformopexy were applied based on the surgeon's choice. These two techniques were compared for intraoperative and postoperative outcomes. RESULTS: Falciformopexy (n=46) and omentopexy (n=243) groups had similar demographics, but ASA scores were lower in the falciformopexy group. For ulcer size and localization, duration of operation, no difference was found between the groups. There was no significant difference between the groups concerning general postoperative morbidity and mortality. However, atelectasis was more frequently observed in the omentopexy group, whereas the pexia failure was more frequent in the falciformopexy group (2.6% and 8.7%, p=0.04). CONCLUSION: Falciformopexy is an alternative technique that can be used in situations where it is not possible to use the omentum. Falciformopexy is not superior to omentopexy for the repair of the PUP.en_US
dc.identifier.doi10.14744/tjtes.2019.11387
dc.identifier.endpage584en_US
dc.identifier.issn1306-696X
dc.identifier.issue6en_US
dc.identifier.pmid31701495en_US
dc.identifier.scopus2-s2.0-85074680487en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage580en_US
dc.identifier.trdizinid343185en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2019.11387
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/343185
dc.identifier.urihttps://hdl.handle.net/11616/92550
dc.identifier.volume25en_US
dc.identifier.wosWOS:000493398900007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDuodenal ulceren_US
dc.subjectfalciform ligamenten_US
dc.subjectgastric ulceren_US
dc.subjectpeptic ulceren_US
dc.subjectperforateden_US
dc.subjectrepair failureen_US
dc.titleOmentopexy versus falciformopexy for peptic ulcer perforationen_US
dc.typeArticleen_US

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