Perforated Duodenal Ulcer

Abstract

The incidence of perforated duodenal ulcer has declined significantly over recent decades, with increasing awareness of Helicobacter pylori infection, and widespread use of refrigeration. However, it is still a relatively common presentation of acute peritonitis, and every general surgeon should be prepared to treat this condition. Fortunately, in most cases, a simply omental patch closure (also termed as Graham patch) will suffice; the technique is described here. This chapter includes information on indications, preoperative preparation, pitfalls, and complications. Detailed discussions of operative strategy and technique are also given.