Peptic ulcer perforation is a serious complication which affects almost 2-10% of ulcer patients on the average. The patients suspected of peptic perforations undergoing emergency laparotomy were divided into 2 groups of 30 patients each based on the technique of Simple Randomization. Patients were allotted group A: Omental pluging and group b Ometopexy. Pain was present in 8 and 11 patients of omental plugging and omentopexy group respectively. On 1 month follow up, pain was present in 9 patients and out of them 4 were in omental plugging group and 5 were in omentopexy group while no healing wound was present. On 3 months follow up no complication was found in any patients.In present study maximum patients were male (57 out of 60) while maximum patients were in 51-60 years of age group. Omental plugging, a relatively newer and less utilized technique was found to be a superior surgical technique over free omentopexy in the treatment of giant peptic perforation.
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