Narrowing of giant gastric perforation by purse-string suture before omental plugging

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dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidGozeneli, Orhan/AAM-7891-2021
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorUsta, Sertac
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorGozeneli, Orhan
dc.date.accessioned2024-08-04T20:40:17Z
dc.date.available2024-08-04T20:40:17Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: Timely diagnosis of the gastroduodenal perforation usually allows primary repair or resection. Treatment of a large gastric perforation is more difficult than the common duodenal ulcer perforation by plugging and usually requires agastric resection. On the other hand, gastric resection fora hemodynamically compromised patient in sepsis hasa high rate of anastomotic failure and mortality. Here, we described a practical surgical technique that can avoid emergency gastric resection in such situations. Presentation of case: A 83 year-old female admitted with peritonitis, severe sepsis and hemodynamic instability. After the diagnosis of hollow organ perforation and supportive therapy, laparotomy revealed a delayed and large (7 cm) gastric perforation. Instead of gastrectomy, we downsized the large defect by means of a purse-string suture around the perforation and made it suitable for the application of omental plugging. Discussion: The patients with poor performance status who are not suitable for the gastric resection, a free omental plug fixation to the narrowed perforation area by a purse-string suture can overcome the problem. Conclusion: This method can be keep in mind as a damage control surgery technique in the non-traumatic abdominal emergencies due to large gastric perforations. (C) 2015 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Limited. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en_US
dc.identifier.doi10.1016/j.amsu.2015.04.027
dc.identifier.endpage142en_US
dc.identifier.issn2049-0801
dc.identifier.issue2en_US
dc.identifier.pmid25984301en_US
dc.identifier.scopus2-s2.0-84930945540en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage140en_US
dc.identifier.urihttps://doi.org/10.1016/j.amsu.2015.04.027
dc.identifier.urihttps://hdl.handle.net/11616/96820
dc.identifier.volume4en_US
dc.identifier.wosWOS:000366201200015en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofAnnals of Medicine and Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGastrointestinal perforationen_US
dc.subjectOmental patchen_US
dc.subjectNarrowing perforationen_US
dc.titleNarrowing of giant gastric perforation by purse-string suture before omental pluggingen_US
dc.typeArticleen_US

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