Graham patch repair. A piece of omentum is used to cover the perforation.
Graham patch repair. 8, 9 Steps include safe abdominal access, washout, control of contamination, identification of ulcer (s), mobilization of omentum, primary repair of the ulcer (modified Graham patch), securing omental patch, and drain placement. More than 80 years after its initial description, this The modified Graham patch repair involves suturing the defect first before buttressing the repair with an omental flap. The web page provides a step-by-step guide with illustrations, tips, and references. However, in several occasions with larger perforations the omental plugging seems a better choice to the omental patch reinforcement technique (omentopexy) (1, 34, 36, 37). See full list on medicinenet. . [1] In Graham’s initial cases, he concluded that routine gastroenterostomy was unnecessary, the omental patch being more than sufficient for closure of the duodenal perforation. Here, we describe two patients with duodenal ulcer perforations who underwent surgical repair using a modified approach of the traditional Graham patch repair using the gastrocolic ligament. Jul 28, 2023 ยท In the classical repair, the sutures are not passed through the omentum but only tied around it. [citation needed] Graham's omentoplasty (plugging) and modified Graham's omental patch repair (omentopexy) are similarly effective repair in terms of morbidity and mortality (33 – 35). i9r qmbwf q0 qvhi 7zukue tzrc g03m iky f3 dvcew
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