Laparoscopic repair of peptic ulcer perforation:Our experience

  • Dr Hari Damde Assistant Professor, Department of Surgery, NSCB Medical College Jabalpur, MP, India
  • Dr Arpan Mishra Assistant Professor Department of Surgery, NSCB Medical College Jabalpur, MP, India
  • Dr Jitendra Shakya Resident, Department of Surgery, NSCB Medical College Jabalpur, MP, India
  • Dr Mahendra Gond Associate Professor Department of Surgery, NSCB Medical College Jabalpur, MP, India
  • Dr Vikesh Agarwal Associate Professor, Department of Paediatric Surgery, NSCB Medical College Jabalpur, MP, India
Keywords: Peptic Ulcer, Laparoscopic repair, Postoperative Complications

Abstract

Aim: To assess the feasibility of laparoscopic repair of peptic ulcer perforation and toanalyse the complications related to laparoscopic repair of peptic ulcer perforation.

Material and Method: This was a Prospective, Observational study done in Department of Surgery, N.S.C.B. Medical College, Jabalpur from October 2013 to October 2014. The aim of study is found outcome and complications of laparoscopic repair of peptic ulcer perforation.

Observations: A total of 13 cases were included under study criteria which were repaired with laparoscopic technique. There was good success rate with this technique. Intraoperative difficulties like technical difficulties in stabilization of stomach for localization of ulcer and hemodynamic instability for which conversion to open done with a conversion rate of 3 cases out of 13. These difficulties were later rectified. There was postoperative complicationseen with appearance of bilateral mild pleural effusion in single case. There were no postoperative complication like surgical site Infection, wound dehiscence, leak or fistula and no mortality.

Conclusion: We concluded that laparoscopic repair of peptic ulcer perforation is a good alternative for open with early to normal life, less hospital stay and no postoperative wound infections

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References

1. Crisp E: Cases of peptic ulcer perforation of the stomach. Lancet 1:639.

2. Wang YR, Richter JE, Dempsey DT. Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006. Ann Surg. 2010 Jan;251(1):51-8. doi: 10.1097/SLA.0b013e3181b975b8. [PubMed]

3. Lunevicius R, Morkevicius M. Management strategies, early results, benefits, and risk factors of laparoscopic repair of perforated peptic ulcer. World J Surg. 2005 Oct;29(10):1299-310. [PubMed]

4. Guidelines for management of Intra abdominal abscess, Recommendation 1A. 2013.

5. Nathanson LK, Easter DW, Cuschieri A. Laparoscopic repair/peritoneal toilet of perforated duodenal ulcer. Surg Endosc. 1990;4(4):232-3. [PubMed]

6. Mouret P, François Y, Vignal J, Barth X, Lombard-Platet R : Laparoscopic treatment of perforated peptic ulcer.Br J Surg. 1990 Sep; 77(9):1006. [PubMed]

7. Wadaani HA. Emergent laparoscopy in treatment of perforated peptic ulcer: a local experience from a tertiary centre in Saudi Arabia. World J Emerg Surg. 2013 Mar 8;8(1):10. doi: 10.1186/1749-7922-8-10. [PubMed]

8. Schirru A, Cavaliere D, Caristo I, Bianchi M, Cosce U, Mariani F, Scarimbolo M, CavaliereP : Operative laparoscopy in the management of perforated peptic ulcer. Chir Ital. 2004 Mar Apr; 56(2):247-252. [PubMed]

9. Matsuda M, Nishiyama M, Hanai T, Saeki S, Watanabe T. Laparoscopic omental patch repair for perforated peptic ulcer. Ann Surg. 1995 Mar;221(3):236-40. [PubMed]

10. Abd Ellatif ME, Salama AF, Elezaby AF, El-Kaffas HF, Hassan A, Magdy A, Abdallah E, El-Morsy G. Laparoscopic repair of perforated peptic ulcer: patch versus simple closure. Int J Surg. 2013;11(9):948-51. doi: 10.1016/j.ijsu.2013.06.014. Epub 2013 Jun 24. [PubMed]

11. Vaidya BB, Garg CP, Shah JB. Laparoscopic repair of perforated peptic ulcer with delayed presentation. J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):153-6. doi: 10.1089/lap.2008.0328. [PubMed]

12. Lunevicius R, Morkevicius M. Comparison of laparoscopic versus open repair for perforated duodenal ulcers. Surg Endosc. 2005 Dec;19(12):1565-71. Epub 2005 Oct 5. [PubMed]

13. Lunevicius R, MorkeviousM : Management strategies, early result, benefits and risk factors of laparoscpic repair of perforated peptic ulcer. World J Surg.2005 Oct; 29(10):1299-1310.
Laparoscopic repair of peptic ulcer perforation:Our experience
CITATION
DOI: 10.17511/ijmrr.2015.i8.158
Published: 2015-09-30
How to Cite
1.
Damde H, Mishra A, Shakya J, Gond M, Agarwal V. Laparoscopic repair of peptic ulcer perforation:Our experience. Int J Med Res Rev [Internet]. 2015Sep.30 [cited 2024Dec.23];3(8):841-6. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/332
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Original Article