A comparative study of conventional omental patch repair versus laproscopic closure of duodenal ulcer
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 8, Issue 1
Abstract
Background: Laparotomy has been the standard treatment of perforated peptic ulcers. Laparoscopy allows the confirmation of the diagnosis, better magnified visualization during the procedure and the identification of the position, site and size of the ulcer. The aim of this study is to compare the surgical outcomes of patients with perforated duodenal peptic ulcers treated either open or laparoscopic. Methods: This is a prospective study of patients with perforated duodenal ulcers who underwent laparoscopic repair or open repair, from November 2008 to December 2009. During the study period 50 cases admitted in our surgery emergency and were studied thoroughly according to the prepared proforma, proportions, chi square test and student ‘T’ tests were used to find out the significance. Results: Fifty patients were included in our study.49 patients underwent surgical repair of perforated duodenal ulcer disease (16 laparoscopic repairs and 33 open repairs ; mean age - (range, 32-82 years). There was decrease in total operative time in patients who had undergone laparoscopy repair (mean: 67.2 minutes laparoscopic versus 106.8 minutes open), less requirement for intravenous/intramuscular opiate analgesia in patients who had undergone laparoscopic repair (mean time to oral analgesia: 3 days laparoscopic versus 6.78 days open). Wound infection and gaping and burst abdomen were nil in laparoscopic (wound infection 8 cases and burst abdomen 2 cases).There was decrease in recovery without complication in patients who underwent laparoscopic repair (02 complications in lap versus 16 complications in open) and shorter in-patient hospital stay (mean: 4.56 days laparoscopic versus 8.94 days open) and early return to normal activity in patients who underwent laparoscopic repair ( mean: 6.44 days laparoscopic vs. 11.48 open) Conclusion: Laparoscopic repair is safe surgical option for patients with perforated duodenal ulcer disease and should be considered for all patients, provided that the necessar expertise is available.
Authors and Affiliations
Sathish V S, Abhinandan B Vandakudri, Praveen Kumar
Keywords
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- EP ID EP471911
- DOI 10.26611/106811
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