Which procedure is commonly used to treat uncomplicated perforations of the peptic ulcer?

Study for the UWorld Surgery Test. Use multiple choice questions with explanations to enhance your understanding and performance. Prepare for your exam effectively and gain confidence!

The most appropriate procedure for treating uncomplicated perforations of a peptic ulcer is the omental patch repair. This surgical technique involves the use of the omentum, a fold of peritoneum extending from the stomach, to cover and seal the perforation in the ulcer. This approach is favored because it is less invasive and allows for both immediate closure of the perforation and promotes healing through the vascular and immune properties of the omentum.

In cases of uncomplicated perforations, the omental patch can be performed via an open or laparoscopic approach, making it versatile and adaptable to the patient's specific situation. The procedure addresses both the perforation and can alleviate any potential complications while also minimizing the risk of future ulcer formation.

Other surgical options, such as gastric bypass surgery and fundoplication, are not suitable for this specific condition as they are designed for different indications, such as obesity or gastroesophageal reflux disease, rather than directly addressing a perforation. Similarly, a duodenectomy is a more radical procedure that is typically reserved for specific malignancies or severe duodenal pathology and does not apply to uncomplicated peptic ulcer perforations.

Thus, the omental patch repair aligns directly with the needs of the clinical scenario involving uncomplicated perforations of

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