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Graham patch is a surgical technique used to repair perforations or defects in the abdominal wall, typically involving the stomach or small intestine. This procedure is named after Dr. William Graham, who developed the technique. The Graham patch involves suturing a piece of omentum (a fold of the peritoneum extending from the stomach) over the perforated area. The omentum is a natural tissue that has a high capacity for healing and promotes granulation, which helps seal the perforation and prevent leakage of digestive contents into the abdominal cavity. The primary cause for performing a Graham patch is the presence of a perforation, which can result from conditions such as peptic ulcer disease, trauma, or inflammatory bowel disease. Perforations can lead to peritonitis, a serious infection of the abdominal lining, and require prompt surgical intervention to prevent further complications and restore normal function. Complications associated with the Graham patch technique include infection at the site of the repair, bleeding, or failure of the patch to adequately seal the perforation. There is also a risk of abscess formation in the abdominal cavity or surrounding tissues. In some cases, the underlying condition causing the perforation may lead to recurrent symptoms or additional complications. Long-term complications might involve adhesions, where scar tissue forms and can cause bowel obstruction or discomfort. Despite these potential risks, the Graham patch is a valuable surgical method for managing perforations and supporting the healing process in the abdominal cavity, providing a less invasive option compared to more extensive procedures.