Laparoscopic Repair of Peptic Ulcer Perforation Without Omental Patch Versus Conventional Open Repair

• DOI: 10.1089/lap.2006.0195
• Publication Date: 2007-10-02T11:39:22Z
• Authors: Mustafa Ates; Sedat Sevil; Erhan Bakircioglu; Cemil Colak
• Keywords: Peptic; Perforation; Open surgery

Background: Laparoscopic surgery, a minimally invasive technique, has recently begun to be used on perforated peptic ulcers effectively and frequently. Nevertheless, most studies have shown that the disadvantages of laparoscopic treatment are long operation time, high reoperation rate, need for an experienced surgeon. Thus, objective current study was compare safety efficacy optimized surgery without omental patch ulcer within shorter operational time with conventional open in 4-year period. Patients Methods: From May 2002 June 2006, 35 consecutive patients clinical diagnosis were prepared prospectively undergo either or surgery. Results: Seventeen underwent simple repair patch. Three (17.6%) who by approach had converted Eighteen The mean operative 42.10 minutes (range, 35–60), which significantly than 55.83 35–72; P = 0.001). Postoperative parenteral analgesic requirements lower after (75.0 mg) procedure (101.39 mg; 0.02). There no statistically significant difference between procedures terms hospital stay (5 vs. 5.33 days; 0.37) timing access normal daily activity (6.8 7.1 days) (P 0.54). Conclusions: when 10 mm large-channel aspirator-irrigator, may safely applied small duodenal (<10 mm) because its having low risk factors. alternative other hands.