What are the three major goals of Surgery for perforated PUD?
- Repair of the perforation is usually performed by suturing the perforation closed and buttressing the repair with omental fat as a Graham patch
- The abdominal cavity is copiously irrigated.
- Definitive ulcer operation is performed.
- A patient who has had a perforation for less than 24 hours and is hemodynamically stable without significant comorbidities should undergo a definitive ulcer operation if he or she has known PUD, has been receiving medical therapy for PUD, or is taking medication that increases the risk of PUD.
