Peptic ulcer perforation through anteriorly situated ulcer in
the first part of the duodenum is a common problem in this
part of the country (Southern Rajasthan). It may be
attributed to the excessive intake of chillies. Although
peptic ulcer perforation seems to be a trivial problem to
deal with, it leads to high morbidity and mortality if
reperforation occurs. This article is written after a long
experience of 20 years in this field, to deal with such cases
more effectively, especially when the patient comes late,
that is, after two, three or more days, when the edges of the
ulcer and the wall of the duodenum are very friable.
Technique and