scholarly journals Meta-analysis of Laparoscopic Versus Open Repair of Perforated Peptic Ulcer

Author(s):  
Stavros A. Antoniou ◽  
George A. Antoniou ◽  
Oliver O. Koch ◽  
Rudolph Pointner ◽  
Frank A. Granderath
2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Chunhua Zhou ◽  
Weizhi Wang ◽  
Jiwei Wang ◽  
Xiaoyu Zhang ◽  
Qun Zhang ◽  
...  

2018 ◽  
Vol 12 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Rohan Stuart Smith ◽  
Senthilkumar Rajavel Sundaramurthy ◽  
Daniel Croagh

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.


2017 ◽  
Vol 215 ◽  
pp. 108-113 ◽  
Author(s):  
Vijaya T. Daniel ◽  
Jason T. Wiseman ◽  
Julie Flahive ◽  
Heena P. Santry

2012 ◽  
Vol 15 (1) ◽  
pp. 1
Author(s):  
Gyou Ra Lee ◽  
Jong Kyung Park ◽  
Sung Geun Kim ◽  
Seung Hye Choi ◽  
Sang Seob Yun ◽  
...  

2018 ◽  
Vol 86 (6) ◽  
pp. 1767-1775
Author(s):  
EL-SAYED ABDULLAH, M.D.; AHMED NEGM, M.D. ◽  
MOHAMED SAMIR, M.D.; MAGDY BASHEER, M.D. ◽  
HOSAM EL-GHADBAN, M.D.; ABD EL-RAHMAN EL-BAHY, M.D. ◽  
AHMED ABD EL-MODABER, M.D.; ASHRAF ABBAS, M.D. ◽  
MAHMOUD AMIN, M.D.; IBRAHIM DAWOUD, M.D.

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