• Poornima Dogra, Robin Kaushik, Simrandeep Singh, and Sushma Bhardwaj.
• Department of General Surgery, Government Medical College and Hospital, Sector 32, Chandigarh, India.
• Eur J Trauma Emerg Surg. 2023 Apr 1; 49 (2): 116311671163-1167.

AimsDuodenal ulcer perforations are frequently encountered but there is limited literature regarding risk factors for leak after omentopexy.MethodologyThe record of 100 patients of duodenal ulcer perforation undergoing omentopexy by open approach was prospectively maintained to identify any significant factors contributing towards leak.ResultsOut of 100 patients undergoing omentopexy, 9 (9%) developed leak; when leak occurred, the mortality was very high (44.4%). Patients who developed leak (09) were compared against those who did not (91), and it was seen that seen that duration of symptoms before surgery (> 3 days), amount of intra-abdominal contamination (> 2 L), low body mass index (BMI < 19.35 kg/m2), serum creatinine (> 1.5 mg/dl), and deranged International Normalized Ratio (INR) were found to be significant on univariate analysis; however, multivariate analysis revealed only low BMI and high creatinine to be contributory towards leak.ConclusionLeak after omentopexy carries a high morbidity and mortality. Identification of risk factors may help in optimizing patients at risk and reduce the incidence of leak and its sequelae.Trial Registration NumberCTRI/2020/03/023798.© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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