scholarly journals The simple suture laparoscopic repair of peptic ulcer perforation without an omental patch

2011 ◽  
Vol 26 (1) ◽  
pp. 289-289 ◽  
Author(s):  
M. Ates ◽  
A. Dirican
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Omental Patch ◽  
Ulcer Perforation

scholarly journals The growing role of laparoscopic repair in patients with early diagnosed peptic ulcer perforation

2014 ◽  
Vol 30 (3) ◽  
pp. 120-124 ◽  
Author(s):  
Muhammet Ferhat Celik ◽  
Ahmet Cem Dural ◽  
Cevher Akarsu ◽  
Mustafa Gokhan Unsal ◽  
Ilhan Gok ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation

scholarly journals Feasibility of laparoscopic repair of peptic ulcer perforation

2021 ◽  
Vol 8 (5) ◽  
pp. 1526
Author(s):  
Sanjay Sisodiya ◽  
Badri Prasad Patel
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Concomitant Disease ◽  
Wound Infections ◽  
Ulcer Disease ◽  
Ulcer Perforation ◽  
Early Return ◽  
Perforation Peritonitis

Background: Perforation is a common complication of peptic ulcer disease and presents as Perforation peritonitis. It has the highest number of mortality among all complications (≈15%). In spite of modern progress in the management, it is still a life-threatening catastrophe. Emergency surgery for complicated cases required in 7% of hospitalized peptic ulcer disease patients. Factors such as >24 hours of history, concomitant disease, shock, post operated wound infections, all are associated with increase in mortality and morbidity.Methods: A Prospective, observational, single hospital base study done during the period from 2016 to 2020 in the Department of Surgery, Gandhi medical college Bhopal. Sample size was taken 63Results: 52 out 63 cases presented with perforation peritonitis included under study period, 11 cases were excluded due to death and absconding of cases. In rest 52 cases, 15 of them went through laparoscopic repair, 28.85% of the cases were shifted directly to ORG.Conclusions: Laparoscopic repair of peptic ulcer perforation is feasible if patient presents early to the hospital. All perforation peritonitis should give fair chance to repair laparoscopically if patient’s general condition and anesthetic permits. This is a good alternative for conventional open surgery with less post-operative pain, early return to normal activities, less hospital stays and few postoperative wound infections. Thus it can significantly decrease the economic burden. 

Is History of Ulcer an Adverse Factor for Laparoscopic Repair of Peptic Ulcer Perforation?

2015 ◽  
Vol 81 (2) ◽  
pp. 84-86
Author(s):  
Hung-Chieh Lo ◽  
Li-Ting Su ◽  
Han-Tsung Cheng ◽  
Yu-Chun Wang ◽  
Chi-Hsun Hsieh
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation ◽  
History Of ◽  
Adverse Factor

scholarly journals Endoscopic assessment and Helicobacter pylori status evaluation in operated cases of peptic ulcer perforation

2020 ◽  
Vol 7 (2) ◽  
pp. 535
Author(s):  
Prashant Rao ◽  
Sarika Mayekar ◽  
Vishwajit Pawar ◽  
Mohan Achyut Joshi
Keyword(s):  
Peptic Ulcer ◽  
Ulcer Healing ◽  
Eradication Therapy ◽  
Peptic Ulcer Perforation ◽  
Omental Patch ◽  
Ulcer Perforation ◽  
Reasonable Approach ◽  
Patch Closure ◽  
H Pylori ◽  
Endoscopic Assessment

Background: Helicobacter pylori’s role in delaying ulcer healing after surgical repair for peptic ulcer perforation causing ulcer persistence hasn’t been definitively established as it has been for uncomplicated ulcers.Methods: Authors performed an endoscopy and H. pylori status evaluation in 30 patients at an average of 6.2 weeks after simple omental patch closure for perforated peptic ulcer.Results: A positive H. pylori status was found in 12 patients (40%) of which 9 had active ulcers. None in the negative group had an active ulcer. H. pylori infection was the only factor found to be responsible for ulcer persistence after surgery.Conclusions: A reasonable approach would thus be to perform an endoscopy 6 weeks after surgery to assess ulcer healing and H. pylori status. H. pylori eradication therapy should then be selectively initialled for patients with an active ulcer or positive H. pylori status.

scholarly journals Laparascopic Management of Peptic Ulcer Perforation: Initial Experience in Chittagong Medical College Hospital

1970 ◽  
Vol 21 (2) ◽  
pp. 16-20
Author(s):  
Md Nur Hossain Bhuiyan ◽  
Md Yunus Haroon Chowdhury ◽  
Syed Md Muhsin ◽  
SM Ashraf Ali ◽  
Omar Faruque Yusuf
Keyword(s):  
Peptic Ulcer ◽  
Return To Work ◽  
Key Words ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Initial Experience ◽  
College Hospital ◽  
Ulcer Perforation ◽  
Medical College ◽  
Early Return

Key Words: laparoscopic repair; early return to work; peptic ulcer performationDOI: 10.3329/jcmcta.v21i2.7731 Journal of Chittagong Medical College Teachers' Association 2010: 21(2):16-20

scholarly journals Mortality and Morbidity in Peptic Ulcer Perforation: A Comparison between Radical Open Repair vs Conservative Laparoscopic Repair

2020 ◽  
Vol 13 (3) ◽  
pp. 97-100
Author(s):  
Yacine Ben Safta ◽  
Neserine Tounsi ◽  
Mohamed Maatouk ◽  
Aymen Mabrouk ◽  
Aymen Ben Dhaou ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Repair ◽  
Open Repair ◽  
Peptic Ulcer Perforation ◽  
Mortality And Morbidity ◽  
Ulcer Perforation

scholarly journals Outcome of surgeries for non-traumatic hollow viscous perforations

2018 ◽  
Vol 5 (8) ◽  
pp. 2888
Author(s):  
Hota P. K. ◽  
Mahesh S. V. ◽  
Reddy Dilip Kumar
Keyword(s):  
Peptic Ulcer ◽  
Operative Procedure ◽  
Gastrointestinal Perforation ◽  
Treatment Modalities ◽  
Peptic Ulcer Perforation ◽  
Simple Closure ◽  
Omental Patch ◽  
Ulcer Perforation ◽  
Operative Findings ◽  
Physical Findings

Background: Patients with non-traumatic hollow viscous perforations present challenge to the surgeons and outcome depends upon location and surgeon skills. Present study was to investigate the outcome of surgeries for non-traumatic hollow viscous perforations.Methods: This is a prospective observational study carried out in surgical wards in Mamata General Hospital between October 2015 and September 2017 over a period of 02 years. Evaluation of all the patients fulfilling the inclusion and exclusion criteria with respect to history, physical findings, operative findings and postoperative complications in line with the predetermined objectives was done. Various treatment modalities available and their outcome were also evaluated.Results: Benign causes of gastrointestinal perforation constituted majority of non-traumatic gastrointestinal perforations. Peptic ulcer perforation (68%) was the major cause of gastrointestinal perforation. Most common site for non-traumatic gastrointestinal perforations was duodenum (48%). Simple closure with omental patch was the operative procedure done for all cases of peptic ulcer perforation and appendicectomy for appendicular perforation. Ileal perforations secondary to typhoid perforation were treated with resection and end-to-end anastomoses in the present study. Colonic perforation was managed with Hartmann’s procedure. Most common complication was SSI (34%). Mortality was 8% and was due to septicemia.Conclusions: Aggressive resuscitation and early meticulous surgery is required to decrease morbidity and mortality in hollow viscous perforation cases. 

scholarly journals Laparoscopic Repair of Peptic Ulcer Perforation - Our Initial Experience

2014 ◽  
Vol 1 (2) ◽  
pp. 153-157
Author(s):  
Md. Saiful Hoque ◽  
Gazi Mohammad Zakir Hossain ◽  
Nur Hossain Bhuiyan ◽  
Md. Rashedul Hasan ◽  
Mayin Uddin Mahmud ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Laparoscopic Repair ◽  
Operation Time ◽  
Perforated Peptic Ulcer ◽  
Peptic Ulcer Perforation ◽  
Related Complication ◽  
Ulcer Perforation ◽  
Delayed Recovery ◽  
Duodenal Ulcer Perforation

Background: Laparoscopic repair of perforated peptic ulcer was reported in 1990 but has not gained wide acceptance. The aim of this study was to evaluate the safety and efficacy of laparoscopic repair in routine clinical practice.Methods: This was a prospective analysis of 30 patients who underwent laparoscopic repair of a perforated peptic ulcer between July 2009 and June2010.Results: Thirty patients of mean age 45 (range 25-52) years had perforated ulcer diagnosed by clinical examination and x-ray abdomen and confirmed by laparoscopy. 28 was duodenal ulcer perforation and rest 2 was gastric ulcer perforation. Only 3 patients required conversion to laparotomy out of them 2 were DU perforation and one was gastric ulcer perforation. Mean operation time was 75 (range 75-150) minutes. Mean postoperative hospital stay was 6 (5-10) days. Postoperative convalescences were good. There was no operation related complication but one patient needs transfer to ICU for delayed recovery and the patient eventually recovered well. Post-operative leakage occurred in one patient and that was treated by laparotomy. One of 3 conversion cases developed wound infection but wound related complications in laparoscopic cases were very negligibe.Conclusion: Laparoscopic repair is a safe and effective procedure for repair of perforated peptic ulcer.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19535

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