Frequency of Surgical Site Infection (SSI) between laparoscopic graham's omentopexy and open graham's omentopexy after duodenal ulcer perforation.

Abstract

Objective: To compare frequency of surgical site infection between laparoscopic Graham's omentopexy and open Graham's omentopexy after duodenal ulcer perforation. Study Design: Randomized Controlled Trial. Setting: Department of Surgery, Allied Hospital, Faisalabad. Period: 31^st October 2020 to 30^th April 2021. Methods: A total of 86 patients with perforated duodenal ulcer, 25 to 60 years of age, were included. Laparoscopic Graham's omentopexy was done in Group A patients while open Graham's omentopexy repair was done in Group B patients. A dose of broad-spectrum antibiotic was given prior to anesthesia. After surgery, all patients were followed up for two weeks to assess the surgical site infection. Results: From 86 patients, 59 (68.60%) were males and 27 (31.40%) were females. Our study has shown the surgical site infection in group A (laparoscopic Graham's omentopexy) as 01 (2.33%) and in group B (open Graham's omentopexy) as 11 (25.58%) respectively, with a p-value of 0.002. Conclusion: Our findings show that the surgical site infection is less after laparoscopic Graham's omentopexy as compared to open Graham's omentopexy for duodenal ulcer perforation.