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PERFORATION OF ULCER, PRESENTED BY, 6.4.01B, GRACY IRUDAYARAJ, SINGH RANA…

- - - - bacterial peritonitis
      - severe abdominal sepsis (period of diffuse purulent peritonitis).
      - chemical peritonitis (the period of primary shock);
- - - - GASTRIC RESECTION
      - CLOSURE OF PERFORATED ULCER
      - EXCISION OF PERFORATION
        
        PYROPLASTY
        
        VAGOTOMY
      - PYLOROANTHRUMECTOMY WITH STEM VAGOTOMY
      - SELECTIVE PROXIMAL VAGOTOMY
  - - - Partial gastrectomy with gastro-duodenostomy.
      - RESTORES TO NORMAL CONTINUITY
    - - Partial gastrectomy with gastro-jejunostomy
  - - - IV administration of antibiotics for infection
      - intravenous (IV) access, and initiate crystalloid therapy for dehydration or septicemia
- - - - BASIC ABDOMINAL CAVITY OVERVIEW
      - ADDITIONAL STUDY WITH CONTRASTS