Background
Omental patching began in 1937, when Roscoe Reid Graham of Toronto reported 51 cases of perforated peptic ulcer successfully treated with an omental patch.
In Graham’s initial cases, he concluded that routine gastroenterostomy was unnecessary, the omental patch being more than sufficient for closure of the duodenal perforation. More than 80 years after its initial description, this technique is still extremely useful in selected patients with perforated duodenal ulcers.