Omental (Graham) Patch Periprocedural Care

1. Graham R. The treatment of perforated duodenal ulcers. Surg Gynec Obstet. 1937. 64:235-238.

2. Chung KT, Shelat VG. Perforated peptic ulcer - an update. World J Gastrointest Surg. 2017 Jan 27. 9 (1):1-12. [QxMD MEDLINE Link]. [Full Text].

3. Kate V, Ananthakrishnan N, Badrinath S. Effect of Helicobacter pylori eradication on the ulcer recurrence rate after simple closure of perforated duodenal ulcer: retrospective and prospective randomized controlled studies. Br J Surg. 2001 Aug. 88 (8):1054-8. [QxMD MEDLINE Link].

4. Ng EK, Lam YH, Sung JJ, Yung MY, To KF, Chan AC, et al. Eradication of Helicobacter pylori prevents recurrence of ulcer after simple closure of duodenal ulcer perforation: randomized controlled trial. Ann Surg. 2000 Feb. 231 (2):153-8. [QxMD MEDLINE Link].

5. Gossman W, Tuma F, Kamel BG, Cassaro S. Gastric Perforation. Treasure Island, FL: StatPearls; 2021. [Full Text].

6. McGee GS, Sawyers JL. Perforated gastric ulcers. A plea for management by primary gastric resection. Arch Surg. 1987 May. 122 (5):555-61. [QxMD MEDLINE Link].

7. Inayat F, Aslam A, Grunwald MD, Hussain Q, Hurairah A, Iqbal S. Omental Patching and Purse-String Endosuture Closure after Endoscopic Full-Thickness Resection in Patients with Gastric Gastrointestinal Stromal Tumors. Clin Endosc. 2019 May. 52 (3):283-287. [QxMD MEDLINE Link]. [Full Text].

8. Sachdev AH, Iqbal S, Ribeiro IB, de Moura DTH. Use of omental patch and endoscopic closure technique as an alternative to surgery after endoscopic full thickness resection of gastric intestinal stromal tumors: A series of cases. World J Clin Cases. 2020 Jan 6. 8 (1):120-125. [QxMD MEDLINE Link]. [Full Text].

9. Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest. 1988 Dec. 94 (6):1176-86. [QxMD MEDLINE Link].

10. [Guideline] Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive Care Med. 2017 Mar. 43 (3):304-377. [QxMD MEDLINE Link].

11. Smith D, Roeser M, Naranjo J, Carr JA. The natural history of perforated foregut ulcers after repair by omental patching or primary closure. Eur J Trauma Emerg Surg. 2018 Apr. 44 (2):273-277. [QxMD MEDLINE Link].

12. Pai D, Sharma A, Kanungo R, Jagdish S, Gupta A. Role of abdominal drains in perforated duodenal ulcer patients: a prospective controlled study. Aust N Z J Surg. 1999 Mar. 69 (3):210-3. [QxMD MEDLINE Link].

13. Bergamaschi R, Mårvik R, Johnsen G, Thoresen JE, Ystgaard B, Myrvold HE. Open vs laparoscopic repair of perforated peptic ulcer. Surg Endosc. 1999 Jul. 13 (7):679-82. [QxMD MEDLINE Link].

14. Khoursheed M, Fuad M, Safar H, Dashti H, Behbehani A. Laparoscopic closure of perforated duodenal ulcer. Surg Endosc. 2000 Jan. 14 (1):56-8. [QxMD MEDLINE Link].

15. Siu WT, Leong HT, Law BK, Chau CH, Li AC, Fung KH, et al. Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg. 2002 Mar. 235 (3):313-9. [QxMD MEDLINE Link]. [Full Text].

16. Siow SL, Mahendran HA. Laparoscopic repair of perforated peptic ulcers: the sutured omental patch and focused sequential lavage technique. Surg Laparosc Endosc Percutan Tech. 2014 Apr. 24 (2):134-9. [QxMD MEDLINE Link].

17. Wang YC, Hsieh CH, Lo HC, Su LT. Sutureless onlay omental patch for the laparoscopic repair of perforated peptic ulcers. World J Surg. 2014 Aug. 38 (8):1917-21. [QxMD MEDLINE Link].

18. Sanabria A, Villegas MI, Morales Uribe CH. Laparoscopic repair for perforated peptic ulcer disease. Cochrane Database Syst Rev. 2013 Feb 28. 2:CD004778. [QxMD MEDLINE Link].

19. Lee DJ, Ye M, Sun KH, Shelat VG, Koura A. Laparoscopic versus Open Omental Patch Repair for Early Presentation of Perforated Peptic Ulcer: Matched Retrospective Cohort Study. Surg Res Pract. 2016. 2016:8605039. [QxMD MEDLINE Link]. [Full Text].

20. Manco G, Caramaschi S, Rolando G, Malagoli M, Zanelli G, Reggiani Bonetti L, et al. Primary laparoscopic approach to repair perforated peptic ulcer. A retrospective cohort study. Minerva Chir. 2020 Dec. 75 (6):436-441. [QxMD MEDLINE Link].

21. Coe PO, Lee MJ, Boyd-Carson H, Lockwood S, Saha A. Open Versus Laparoscopic Repair of Perforated Peptic Ulcer Disease: A Propensity-matched Study of the National Emergency Laparotomy Audit. Ann Surg. 2020 Nov 12. [QxMD MEDLINE Link].

22. Lee FY, Leung KL, Lai PB, Lau JW. Selection of patients for laparoscopic repair of perforated peptic ulcer. Br J Surg. 2001 Jan. 88 (1):133-6. [QxMD MEDLINE Link].

23. Malkov IS, Zaynutdinov AM, Veliyev NA, Tagirov MR, Merrell RC. Laparoscopic and endoscopic management of perforated duodenal ulcers. J Am Coll Surg. 2004 Mar. 198 (3):352-5. [QxMD MEDLINE Link].

24. Munoz Abraham AS, Osei H, Martino A, Kazmi S, Saxena S, Fitzpatrick CM, et al. Incidence and Outcomes of Perforated Peptic Ulcers in Children: Analysis of the Kid's Inpatient Database and Report of Two Cases Treated by Laparoscopic Omental Patch Repair. J Laparoendosc Adv Surg Tech A. 2019 Feb. 29 (2):248-255. [QxMD MEDLINE Link].

25. [Guideline] Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010 Jan 15. 50 (2):133-64. [QxMD MEDLINE Link].

26. Shan YS, Hsu HP, Hsieh YH, Sy ED, Lee JC, Lin PW. Significance of intraoperative peritoneal culture of fungus in perforated peptic ulcer. Br J Surg. 2003 Oct. 90 (10):1215-9. [QxMD MEDLINE Link].

Razvan C Opreanu, MD, MS Resident Physician in General Surgery, Department of Surgery, Michigan State University College of Human Medicine

Razvan C Opreanu, MD, MS is a member of the following medical societies: American College of Surgeons, American Society of Colon and Rectal Surgeons

Disclosure: Nothing to disclose.

Marc D Basson, MD, PhD, MBA, FACS Senior Associate Dean for Medicine and Research, Professor of Surgery, Pathology, and Biomedical Sciences, University of North Dakota School of Medicine and Health Sciences

Marc D Basson, MD, PhD, MBA, FACS is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Gastroenterological Association, Phi Beta Kappa, Sigma Xi, The Scientific Research Honor Society

Disclosure: Nothing to disclose.

Julian E Losanoff, MD, MHA, MSS Professor of Surgery, University of Nevada-Las Vegas School of Medicine; Adjunct Professor of Surgery, Touro University College of Osteopathic Medicine; Chief of Surgery, VA Southern Nevada Healthcare System

Julian E Losanoff, MD, MHA, MSS is a member of the following medical societies: American College of Surgeons, Southern Medical Association

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Kurt E Roberts, MD Associate Professor, Division of Bariatric and Minimally Invasive Surgery, Department of Surgery, Yale University School of Medicine; Chair, Department of Surgery, Saint Francis Hospital, Trinity Health of New England Medical Group

Kurt E Roberts, MD is a member of the following medical societies: American College of Surgeons, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoscopic and Robotic Surgeons

Disclosure: Nothing to disclose.

• Print this section
• Print the entire contents of
• Print the entire contents of article