Perforated Duodenal Ulcer Repair (Graham Patch)
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Perforated Duodenal Ulcer Repair — Omental Patch (Graham Patch)
ANAESTHETIC: General anaesthesia — rapid sequence induction
ANTIBIOTICS: Broad-spectrum IV antibiotics at induction including anaerobic cover
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine. Urinary catheter. Nasogastric tube.
INDICATION:
Perforated duodenal ulcer — pneumoperitoneum on imaging. [Duration of symptoms: hours]. IV fluid resuscitation commenced. Nasogastric decompression established. Septic state assessed and resuscitation initiated.