Surgical repair of giant gastroduodenal perforation with Teflon-Felt?

Patients with longer duration of huge gastroduodenal perforation are known to be difficult to tolerate major surgery. Primary closure of the perforation will result in suture tension with high risk of dehiscence, gastric outlet obstruction, and even mortality. Teflon-Felt is a bioinert, polytetrafluoroethylene, flexible material used on patients with vascular defect. It is proposed that Teflon-Felt may be an optimal material for closure of giant gastroduodenal perforation to reduce suture tension without narrowing of the gastric outlet.