scholarly journals Duet laparoscopic repair with knotless barbed sutures for treatment of perforated peptic ulcer: reality in general surgery with lacking of manpower

2021 ◽  
Vol 9 (4) ◽  
pp. 311-311
Author(s):  
Dong-Wook Kim ◽  
Sanghyun Song ◽  
Ye Seob Jee
2002 ◽  
Vol 235 (3) ◽  
pp. 313-319 ◽  
Author(s):  
Wing T. Siu ◽  
Heng T. Leong ◽  
Bonita K. B. Law ◽  
Chun H. Chau ◽  
Anthony C. N. Li ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pietro Fransvea ◽  
Gianluca Costa ◽  
Luca Lepre ◽  
Mauro Podda ◽  
Alessio Giordano ◽  
...  

2015 ◽  
Vol 20 (3) ◽  
pp. 168-172
Author(s):  
Cotirleţ A. ◽  
Tincu E. ◽  
Coşa Raluca ◽  
Popa E. ◽  
Gavril Laura ◽  
...  

Abstract Perforated peptic ulcer (PPU), despite antiulcer medication and Helicobacter eradication, is still the most common indication for emergency gastric surgery associated with high morbidity and mortality. Perforated peptic ulcer is a common abdominal disease that is treated by surgery. The development of laparoscopic surgery has changed the way to treat such abdominal surgical emergencies but there is no consensus on whether the benefits of laparoscopic closure of perforated peptic ulcer outweigh the disadvantages such as prolonged surgery time and greater expense. However we can say that laparoscopic repair is a viable and safe surgical option for patients with perforated peptic ulcer disease and should be considered with the necessary expertise available.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Peter O. Coe ◽  
Matthew J. Lee ◽  
Hannah Boyd-Carson ◽  
Sonia Lockwood ◽  
Arin Saha

2001 ◽  
Vol 88 (1) ◽  
pp. 133-136 ◽  
Author(s):  
F. Y. J. Lee ◽  
K. L. Leung ◽  
P. B. S. Lai ◽  
J. W. Y. Lau

2017 ◽  
Vol 4 (6) ◽  
pp. 2022
Author(s):  
Ahmed Abdel Monem Ibrahim ◽  
Backeet Turkeyev ◽  
Mohammad Mahmood Al Alkatary

Background: The study included patients diagnosed as perforated peptic ulcer. Outcomes are assessed by mortality and morbidity rate, operation time and hospital length of stay.Methods: On the period from January 2013 to December 2014 a total of 71 patients were operated in both facilities: 37 patients in Dubai hospital and 34 in Mafraq Hospital. Open repair with omental patch done in 34 patients (47.9%) and laparoscopically in 37 patients (52.1%). No cases of laparoscopy converted to laparotomy.Results: The data demonstrates homogeneous results for the outcome variables of morbidity and complications, while operation time and hospital length of stay differ significantly. Statistical significance could not be reached for any of these variables, although odd ratios were consistently in favour of the laparoscopic repair. Similarly, the laparoscopic approach resulted in a lower rate of minor complications (10% vs. 23%). Total lengths of stay post open repair made of 4.2±1.2 days, after laparoscopic repair 3.6±0.9 days. At the same time there were observed longer operating times for laparoscopic repair of PPU which constituted 62±10.6 minutes whereas open repair took only 45±12.9 minutes. Peritoneal lavage has been a factor of prolonged duration of laparoscopic surgery.Conclusions: Laparoscopic repair of a perforated peptic ulcer is an amenable and feasible technique within the hands of experienced laparoscopic surgeon. Current evidence does not clearly demonstrate the advantages of laparoscopic versus open repair. Growing interest in the laparoscopic approach may encourage the design of additional randomized trials to analyze its efficacy compared with the open approach.


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