What is the typical surgical treatment for a perforated peptic ulcer?

The typical surgical treatment for a perforated peptic ulcer is commonly an omental patch repair, also known as a Graham patch repair. This procedure involves using the omentum, a layer of fatty tissue that drapes over the abdominal organs, to cover and seal the site of perforation in the ulcer. This technique is favorable because it is straightforward, can be performed quickly, and effectively controls the leak, allowing the surrounding tissues to heal while minimizing complications such as infection and peritonitis.

In cases of perforated peptic ulcers, urgency is crucial, as timely intervention can significantly reduce morbidity and mortality associated with the condition. The Graham patch repair is particularly advantageous because it requires less extensive surgery than other options, facilitating a quicker recovery for the patient.

Other surgical options, although sometimes used in specific circumstances or chronic cases, are not the first line for immediate intervention in perforations. For instance, a Billroth I resection involves removing part of the stomach, which is more invasive and not typically indicated for an acute perforation. Vagotomy and pyloroplasty are more related to ulcer management in chronic cases, focusing on reducing acidity rather than addressing an acute perforation. Partial gastrectomy, which also involves resecting part of