A clinical study of 189 cases of patient with peptic ulcer perforations was performed with the emphasis on group analysis. The patient were admitted to the Department of surgery, Kang Nam Sacred Heart Hospital, Hallym Medical College, from June 1980 to May 1983. This study was performed as follows.
1) The age incidence indicated that gastric ulcer perforation was more prominent in the six decade whereas duodenal ulcer perforation being more prominent in the fourth decade. Male to female ratio was 20 to 1. (180 male, 9 female.)
2) The duration of peptic ulcer history was greater than .3-5 years in 6.5 cases(34.4%), lesser than 6 months in 52 cases(27.5%), and an undetermined in 26 cases (13.8%).
3) The operative procedures in 189 cases were as follows; 107 cases(56.6%) of vagotomy & pyloroplasty, 40 cases(21. 1%) of subtotal gastrectomy, 27 cases(14.3%) of vagotomy & antrectomy and 15 cases (7.9 %) of simple closure.
4) There was a significant difference in the total complication rate between the two groups: 8. 1% in non-resected group with perforation duration of lesser than 8 hours and 23.7% in resected group with perforation duration of more than 8 hours. (P5) In terms of the relationship between amount of abdominal spillage and complications, there was a significant difference(P<0.001) between the group with spillage below 1000^-2000 cc and the severe group with spillage above 3, 000 cc. (r=0.96, P<0.001)
6) In terms of the relationship between the perforation time and abdominal spillage, the abdominal spillage was directly proportional to perforation time. (r=0.93, P<0.01)
7) In terms of the relationship between complication rate and degree of spillage matched with type of operation, there was a significant difference between 20.3%(P<0.01) of the complications of non-resection in tie mild group and 36.7%(P<0.001) complications of rese-ction in the severe group.
As conclusion, the postoperative complication will be directly proportional to the time of perforation (r = 0. 93, P<0.01), perforation siae(r=0.97, P<0.009), and abdominal spillage (r=0.96, P <0.03).
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