COMPARATIVE STUDY OF LAPAROSCOPIC AND OPEN SURGICAL METHOD IN MANAGEMENT OF PEPTIC ULCER PERFORATION

Background: Comparative study of laparoscopic and open surgical method in management of peptic ulcer perforation Methods: The present study was conducted in patients presented with perforation peritonitis to the emergency department in G.G.S medical college and hospital, a tertiary care hospital in Faridkot, Punjab in which comparison of the clinical outcome between laparoscopic and open surgical methods for treatment of Gastro duodenal perforation was study. Results: Mean operative time of laparoscopic repair group was higher (158.2±0.64 min) in comparison to open repair group (70.8±0.42 min). In the present study post-operative pain score was assessed in each and every patient using Visual analogue scale. On post-operative day 1, mean VAS for OR Group was significantly higher in comparison to LR Group. Later on postoperative day 3, Majority of patients of in LR group had a highest score of 1-4 while in OR group was score 5-7.Nexton postoperative day 5, again mean VAS for LR patients was less in comparison to OR Group. Conclusion: As this is the first kind of study in our geographical area in which role of alcohol proved to be an important risk factor. Laparoscopic approach for repair of perforated peptic ulcer may offer significant advantage over open repair approach with lesser post-operative pain, lsser postoperative complications like wound infections, comparable reperforation rates and lesser duration of hospital stay. Keywords: Laparoscopic, Open, Repair

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THE COMPARATIVE STUDY BETWEEN OPEN TECHNIQUES VERSUS LIMBERG FLAP TECHNIQUE IN MANAGEMENT OF SACROCOCCYGEAL PILONIDAL SINUS

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v5i9.2180 ◽

2021 ◽

Vol 5 (9) ◽

Author(s):

Deepak Meena ◽

Vinod Bhavi ◽

Jas Karan Singh ◽

Gurpreet Singh

Keyword(s):

Peptic Ulcer ◽

Comparative Study ◽

Open Repair ◽

Geographical Area ◽

Limberg Flap ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Post Operative Pain ◽

Surgical Methods ◽

Repair Group

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Diagnostic indicators for peptic ulcer perforation at a tertiary care hospital in Thailand

Clinical and Experimental Gastroenterology ◽

10.2147/ceg.s25501 ◽

2011 ◽

pp. 283 ◽

Cited By ~ 6

Author(s):

Chutikarn Suriya ◽

Nongyao Kasatpibal ◽

Kunaviktikul ◽

Kayee

Keyword(s):

Peptic Ulcer ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Ulcer Perforation

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H. pylori and peptic ulcer perforation: prevalence of infection and role in surgical outcome

International Surgery Journal ◽

10.18203/2349-2902.isj20211305 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1243

Author(s):

Saad Anwar ◽

Afzal Anees ◽

Nishat Afroz ◽

Sabiha Aziz

Keyword(s):

Peptic Ulcer ◽

Surgical Outcome ◽

Perforated Peptic Ulcer ◽

Rapid Urease Test ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Ulcer Perforation ◽

Test Kit ◽

Urease Test ◽

H Pylori

Background: Perforated peptic ulcer is one of the most common surgical emergencies. Despite a definite association of H. pylori with peptic ulcer disease, its association with peptic ulcer perforation is still doubtful. The aim of the present study was to know the prevalence of H. pylori infection and its role in surgical outcome of patients.Methods: This prospective observational study was carried out at a tertiary care hospital of north India for a period of two years and included 136 consecutive patients of perforated peptic ulcer who underwent emergency laparotomy. H. pylori infection was tested on ulcer margin biopsy using rapid urease test kit and confirmed on histopathological examination.Results: 136 consecutive patients of perforated peptic ulcer were included in this study with mean age of 42.43 years and sex ratio of 11.4:1. H. pylori infection was present in fifty four percent (54%) of patients. There was no relationship of H. pylori infection with morbidity and mortality of patients.Conclusions: H. pylori infection should be assessed at the time of primary surgical management on biopsy specimen using rapid urease test and confirmed on histopathological examination. All positive patients should be subjected to H. pylori eradication therapy.

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A clinical study of factors affecting the prognosis in duodenal ulcer perforation cases in tertiary care hospital, Kanchipuram district

International Surgery Journal ◽

10.18203/2349-2902.isj20195214 ◽

2019 ◽

Vol 6 (12) ◽

pp. 4290

Author(s):

Dhinesh Babu K. ◽

M. Bhaskar

Keyword(s):

Duodenal Ulcer ◽

Peptic Ulcer ◽

Tertiary Care ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Chronic Alcoholic ◽

Factors Affecting ◽

Ulcer Disease ◽

Ulcer Perforation ◽

Duodenal Ulcer Perforation

Background: Peptic ulcer disease is an erosion of the lining of the stomach or duodenum. It is associated with potentially life-threatening complications such as bleeding, perforation and obstruction. The main predisposing factors for peptic ulcer perforation are smoking, use of non-steroidal anti-inflammatory drugs (NSAIDs), chronic stress, Helicobacter pylori infection, and age >60 years. In recent years, with introduction of proton pump inhibitors and increased knowledge of duodenal ulcer perforation (DUP) has decreased the incidence of DUP.Methods: 50 patients with DUP were studied prospectively with respect to age, gender, use of NSAIDs, morbidity, mortality and complications.Results: Out of 50 patients, the mean age of incidence DUP was 46 yrs, which is more common in males. And also 48% patients were chronic alcoholic and 52% patients were chronic smokers. Moreover, 14% patients were chronic NSAIDs users.Conclusions: Factors such as age, gender, use of NSAID, Alcohol and smoking affects the life expectancy of the patients, which leads to morbidity and mortality.

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