A COMPARATIVE STUDY OF THE FIGURE OF 8 SUTURING REINFORCED WITH FREE PARIETAL PERITONEAL PATCH VERSUS DIRECT SUTURING WITH OMENTAL PLUG/FALCIFORM PLUG IN PATIENTS WITH GASTRO-INTESTINAL PERFORATION.

Authors

  • Shwetabh Pradhan Assistant Professor, Department of Surgery, Veer Chandra Singh Garhwali Government Medical Sciences & Research Institute, Srikot, Uttarakhand, India.
  • Abhinav Bisht Assistant Professor, Department of Surgery, Veer Chandra Singh Garhwali Government Medical Sciences & Research Institute, Srikot, Uttarakhand, India.
  • Abhijit Acharya Specialist, Composite Hospital, CRPF, Bhubaneshwar, Odisha, India.

DOI:

https://doi.org/10.32553/ijmbs.v4i5.1113

Abstract

Objectives: This present study was to compare the figure of 8 suturing reinforced with free parietal peritoneal patch versus direct suturing with omental plug/falciform plug in patients with gastro-intestinal perforation.

Methods: A detail history, clinical examinations and relevant investigations were performed to all patients. All patients were anaesthetized: After painting and draping the operation site, right paramedian incision was made. Peritoneum was opened. Whole GIT and intra-abdominal organs were examined properly. Edges of perorated site were debrided. Then, the perforation firstly was stitched by a Figure of 8 stitch with vicryl 3-0 and then a free parietal peritoneal patch taken from lateral abdominal wall was applied and held in position with interrupted/continuous seromuscular sutures. Then, central tucking was also be done to keep the patch firmly fixed.

Results: Data was analyzed by using SPSS version 26 software. One sample t test was applied. Mean and standard deviation were observed. P value was taken less than or equal to 0.05 for significant differences.

Conclusions: Reinforcement of free parietal peritoneal patch over figure of 8 suturing is effective method for the closure of gastrointestinal tract perforations, with early evidence of gastrointestinal motility with oral intake allowed on an average 4th - 5th postoperative day was significant statistical difference with regards to complications like anastomotic leakage. Hence, the figure of 8 stitch reinforced with free parietal peritoneal patch is a simple and easy procedure with less hospital stay which does not require significant expertise and can even be performed in very short time by a trained general surgeon in a seriously ill patient in an emergency situation.

Keywords: Gastrointestinal perforation, Figure of 8 stitch, parietal peritoneal patch, omental plug,  direct suturing

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Published

2020-05-14

How to Cite

Pradhan, S., Bisht, A., & Acharya, A. (2020). A COMPARATIVE STUDY OF THE FIGURE OF 8 SUTURING REINFORCED WITH FREE PARIETAL PERITONEAL PATCH VERSUS DIRECT SUTURING WITH OMENTAL PLUG/FALCIFORM PLUG IN PATIENTS WITH GASTRO-INTESTINAL PERFORATION. International Journal of Medical and Biomedical Studies, 4(5). https://doi.org/10.32553/ijmbs.v4i5.1113

Issue

Vol. 4 No. 5 (2020)

Section

Research Articles