DOI: https://doi.org/10.36347/sasjs.2026.v12i02.005

Pages: 154-156

The aim of this study was to evaluate the management of perforated gastroduodenal ulcers in the surgical department "A" of the Point-G University Hospital. This was a retrospective and descriptive study spanning 12 years (2010-2022). Patients included in the study were those who underwent surgery for perforation of non-tumoral gastroduodenal ulcers. We collected 60 cases, comprising 47 men and 13 women. The perforation was located in the antropyloric region in 78.3% of cases and in the duodenal bulb in 13 cases (21.6%). The surgical procedures performed were: excision and suturing of the perforation margins combined with omentoplasty in 95% of cases. A truncal vagotomy combined with excision and suturing of the perforation edges was performed in 5% of cases (n=3). The postoperative course was uneventful in 66.6% of cases (n=40%). A parietal infection was noted in 15% of patients (25%). The mortality rate was 8.3% (n=5). The perforation appears to reveal the underlying gastroduodenal ulcer in most patients. These complications are frequent in our department. Treatment most often consists of excision and suturing of the perforation edges.