PLICATION OF PERFORATED PEPTIC ULCER

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table of contents

my operations

How I did It?

Operative Technique:

Ø      Patient supine under General Anesthesia

Ø      Asepsis and antisepsis technique

Ø      Sterile drapes placed

Ø      Midline incision made

Ø      Intra-operative findings noted

Ø      Edges of perforation debride

Ø      Continuous chromic 3-0 suture used approximating full thickness of the margins

Ø      Interrupted silk 4-0 seromuscular Lembert sutures placed with omental overlay

Ø      Copious peritoneal lavage

Ø      Hemostasis

Ø      Complete sponge and instrument count

Ø      Peritoneum and fascia closed in one layer with interrupted external bolsters

Ø      Skin partially closed.

Ø      Dry sterile dressing applied.