PLICATION OF

PERFORATED PEPTIC ULCER

Operative Technique:

Patient supine under General Anesthesia

Asepsis and antisepsis technique

Sterile drapes placed

Midline incision made

Intra-operative findings noted

Edges of perforation debride

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

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

Copious peritoneal lavage

Hemostasis

Complete sponge and instrument count

Peritoneum and fascia closed in one layer with interrupted external bolsters

Skin partially closed.

Dry sterile dressing applied.