Gastric perforation repair is to improve the acute abdomen caused by gastric fluid outflow and needs to be performed according to the specific surgical procedure, which mainly includes disinfection of the operation area, anesthesia, laparoscopic or open surgical observation, resection of the tissue around the perforation, suture of the gastric wall, and postoperative drainage, etc. The procedure should be performed according to the specific surgical procedure.
1. Sterilization of the operative area: the perforation site or open abdominal surgery site needs to be sterilized, with the sterilized area extended to 15 cm, and the cavity towel is spread after sterilization.
2. Anesthesia: general anesthesia treatment through intravenous injection of anesthetic drugs.
3. Laparoscopic or open surgical observation: find the perforation and observe the specific condition of the perforation site through laparoscopic or open surgery.
4. Tissue excision around the perforation: the tissue around the perforation needs to be excised cleanly to further investigate whether there is any abnormal lesion.
5. Gastric wall suture: the gastric wall is surgically sutured through the whole layer, and for some patients with large perforations, part of the omentum can be covered, and the surrounding seepage is cleaned up after the operation.
6. Postoperative drainage: Place a drainage tube in the surgical area to adequately drain the area.
Postoperative abdominal pain, vomiting and other symptoms, you need to consult a doctor in time, under the guidance of the clinician standardized treatment.