<prompt> Surgery for perforated duodenal ulcer -VagotomyPyeloplastyOmental patch repairRoux-en-Y gastrectomy  <response>: Ans. is c i.e., Omental patch repair Management of Peptic ulcer perforation Nasogastric tube: whenever a perforated ulcer is suspected, the first step is to pass a nasogastric tube and empty the stomach to reduce further contamination of the peritoneal cavity. Intravenous crystalloid: The patient is resuscitated aggressively by administration of intravenous crystalloid. Intravenous broad-spectrum antibioticsSurgery: Surgery is mostly indicated, although occasionally nonsurgical treatment can be used in stable patients without peritonitis, and in whom radiologic studies document a sealed perforation. Surgery whether laparoscopy or laparotomy involves two components :i Thorough peritoneal toilet to remove all the fluid and food debris drain is not indicatedii Management of perforation The most frequently performed operation for a perforated duodenal ulcer is simple closure with an omental onlay reinforcement or patch. This is combined with postoperative H. pylori eradication antibiotics antisecretory agents Insertion of a nasoenteric or jejunal feeding tube should be considered 