{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T06:59:52Z","timestamp":1777964392615,"version":"3.51.4"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The omental patch repair is the gold standard for the repair of perforated peptic ulcers. This can be performed open or laparoscopically. However, in the event of non\u2010viable or inadequate omentum available at the time of surgery the falciform ligament has been reportedly used to as an alternative. Nonetheless, evidence for its safety is scant. This study aims to determine differences in patient outcomes when comparing the two repair techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Following ethics approval, patients who underwent surgical repair of perforated peptic ulcers using omental or falciform patch repair, between 1 January 2010 and 31 December 2017, across all three Western Australian tertiary hospital services and at least 18\u2009years of age were included. Data were collected by reviewing medical records of included patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred twenty\u2010nine patients who underwent either open or laparoscopic repairs were included. Thirty\u2010seven patients had falciform repairs and were mostly ASA of 2 compared to 292 patients receiving omental patch repair who were mostly ASA 3. Falciform patch repairs were more commonly used in duodenal ulcer perforations. There were no statistically significant differences in patient outcomes between the omental patch and falciform ligament groups. This included post\u2010operative intra\u2010abdominal sepsis, return to theatre, post\u2010operative ICU admission, inpatient mortality, 30\u2010day readmission and ulcer healing on follow\u2010up gastroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates safety, efficacy and similar outcomes for patients receiving the falciform ligament patch repair compared with omental patch repair.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18728","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T05:44:51Z","timestamp":1697175891000},"page":"371-374","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Retrospective comparison of outcomes of patients undergoing omental patch versus falciform patch repair of perforated peptic ulcers"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4001-6130","authenticated-orcid":false,"given":"Vidya","family":"Seenarain","sequence":"first","affiliation":[{"name":"Division of Surgery, Medical School University of Western Australia  Murdoch Western Australia Australia"},{"name":"Department of General Surgery Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamalee","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of General Surgery Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Division of Surgery, Medical School University of Western Australia  Murdoch Western Australia Australia"},{"name":"Department of General Surgery Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda J.","family":"Foster","sequence":"additional","affiliation":[{"name":"Division of Surgery, Medical School University of Western Australia  Murdoch Western Australia Australia"},{"name":"Department of General Surgery Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)32404-7"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v9.i1.1"},{"key":"e_1_2_9_4_1","first-page":"235","article-title":"The treatment of perforated duodenal ulcers","volume":"64","author":"Graham RR","year":"1937","journal-title":"Surg. 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