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
Related Articles
- EP ID EP471911
- DOI 10.26611/106811
- Views 131
- Downloads 0
Assessment of clinical and biochemical features among malignant and benign cases of surgical jaundice
Background: Jaundice is a generic term for the yellow pigmentation of skin, mucous membranes, sclera that is caused by a heterogenous group of disorders. During the last decade, our evolving ability has been to image the...
A study on causes of non-traumatic acute abdomen at a tertiary care hospital
Background: The abdomen has been referred to as Pandora’s magic box. Very often an accurate diagnosis cannot be made without surgery and many wonders are revealed on opening the abdomen. So it is often the last court of...
Management of patients with chronic abdominal pain at a tertiary care hospital
Background: Laparoscopy can identify abnormal findings and improve the outcome in a majority of patients with chronic abdominal pain, as it allows surgeons to see and treat many abdominal conditions that cannot be diagno...
A Study of age wise distribution of various upper GI endoscopic findings at tertiary health care center
Background: Dysphagia is a Greek word and means disordered eating. Dysphagia typically refers to difficulty in eating as a result of disruption in the swallowing process. Aims and Objectives: Study of age wise distributi...
A study of the role of acute phase reactants – C-reactive protein and procalcitonin in predicting the severity of sepsis
Background: Sepsis is a serious clinical condition that represents a patient’s response to a severe infection and has a very high mortality rate. Aims and Objectives: to study the role of Acute phase reactants – C-reacti...