Author/Authors :
Muslu, Ümran Atatürk Teaching and Research Hospital - Department of General Surgery, Turkey , Gökakın, Ali Kağan Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Demir, Ayşegül Atatürk Training and Research Hospital - Department of General Surgery, Turkey , Üreyen, Orhan Gülhane Military Medical Academy - Department Of General Surgery, Turkey , Altınel, Özcan Gülhane Military Medical Academy - Department Of General Surgery, Turkey , Tezcan, Eyüp Sabri Gülhane Military Medical Academy - Department Of General Surgery, Turkey , Atabey, Mustafa Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Akgöl, Gündüz Cumhuriyet Univercity - School of Medicine - Department of General Surgery, Turkey , Genç, Hüdai Atatürk Teaching and Research Hospital - Department of General Surgery, Turkey
Abstract :
Aim. The efficacy of modern medical treatment has played an important role in decreased incidence and differentation of the epidemiology of ulcer perforation. But a similar rate of differentiation in mortality and morbidity was not observed. The effect of more simple surgical procedures and the factors associated with mortality and morbidity in ulcer perforation, were the subject of this study. Methods. The files of 126 patients who were operated due to peptic ulcer perforation between 1998 and 2005 were analyzed in retrospective manner. Patients were divided into two groups as primary repair group and definitive surgery group. Factors affecting the choice of surgical treatment, perforation etiology, predisposing factors associated with mortality and morbidity rate were evaluated. Results. A hundred and fourteen 114 (90.5%) patients were male and 12 (9.5%) of them were female. The mean age was 50.7 (± 13.5). Primary repair group included 103 (81.7%) patients whereas definitive surgery group included 23 (18.3%) patients. The overall mortality and morbidity rates in primary repair group and definitive surgery were, 3.9% and 15% respectively. Conclusion. Primary repair has re-gained popularity in time. The factors associated with mortality and morbidity were age, concomitant disease, and delayed admission.
