DOI: http://dx.doi.org/10.18203/2349-2902.isj20211821

Feasibility of laparoscopic repair of peptic ulcer perforation

Sanjay Sisodiya, Badri Prasad Patel

Abstract


Background: Perforation is a common complication of peptic ulcer disease and presents as Perforation peritonitis. It has the highest number of mortality among all complications (≈15%). In spite of modern progress in the management, it is still a life-threatening catastrophe. Emergency surgery for complicated cases required in 7% of hospitalized peptic ulcer disease patients. Factors such as >24 hours of history, concomitant disease, shock, post operated wound infections, all are associated with increase in mortality and morbidity.

Methods: A Prospective, observational, single hospital base study done during the period from 2016 to 2020 in the Department of Surgery, Gandhi medical college Bhopal. Sample size was taken 63

Results: 52 out 63 cases presented with perforation peritonitis included under study period, 11 cases were excluded due to death and absconding of cases. In rest 52 cases, 15 of them went through laparoscopic repair, 28.85% of the cases were shifted directly to ORG.

Conclusions: Laparoscopic repair of peptic ulcer perforation is feasible if patient presents early to the hospital. All perforation peritonitis should give fair chance to repair laparoscopically if patient’s general condition and anesthetic permits. This is a good alternative for conventional open surgery with less post-operative pain, early return to normal activities, less hospital stays and few postoperative wound infections. Thus it can significantly decrease the economic burden.

 


Keywords


Peptic ulcer disease, Laparoscopic peptic perforation repair, Gastrointestinal, Laparoscopic repair group, Open repair group

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References


Crisp E. Cases of peptic ulcer perforation of the stomach. Lancet. 2001;1(639):1843.

Wang YR, Richter JE, Dempsey DT. Trends and outcome of hospitalization of peptic ulcer disease in United States, 1993 to 2006. Ann Surg. 2010;251:51-8.

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

Lau H. Laparoscopic repair of perforated peptic ulcer-a meta-analysis. Surg Endosc. 2004;18(7):1013-21.

Schirru A, Cavaliere D, Caristo I, Bianchi M, Cosce U, Mariani F et al. Operative laparoscopy in the management of perforated peptic ulcer. Chir Ital. 2004;56(2):247-52.

Sanabria A, Villegas MI, Morales Uribe CH. Laparoscopic repair for perforated peptic ulcer disease. Chrocane databae.

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

Marietta JOE Bertleff, Johan F Lange. Laparoscopic correction of perforated peptic ulcer-fisrt choice? A review of literature. Surg Endosc. 2009;1231-9.

Yashuda K, Kitano S. Laparoscopic surgery for peptic ulcer. Niho Rhinso. 2004;62(3):519-23.

Lagoo S, McMohan RL, Kakihara M, Pappas TN, Eubank S. Sixth decision regarding perforated duodenal ulcer. JSLS. 2002;6(4):359-68.

Siu WT, Leong HT, Chau CH, Li AC, Fung KH, Tai YP et al. Laparoscopic repair for perforated peptic ulcer-a randomized controlled trial. Ann Surg. 2002;235(3):313-31.

Palanivelu C, Jani K, Senthilnathan P. Laparoscopic management of duodenal ulcer perforation-is it advantageous. Indian Society of Gastroentrol. 2007;26:64-6.

Mintolo V, Gangliano G, Rhinzivillo C, Mintolo O, Carnazza M, Racalbuto A et al. Laparoscopic surgical treatment of perforated duodenal ulcer. Chir Ital. 2009;61(3):309-13.

Lunevicius R, Morkevious M. Comperision of laparoscopic versus open repair of perforated duodenal ulcer. Surg Endosc. 2005;19(12):1565-71.

Nicolau AE, Merian V, Vestes V, Micu B, Beuran M. Laparoscopic suture repair of perforated duodenal ulcerto patient without risk factord. Chirurgia (Bucur). 2008;103(6):629-33.

Antoniou SA, Antoniou GA, Koch OO, Pointer R, Graderath FA. Meta analysis of laparoscopic versus open repair of paerforated peptic ulcer. JSLS. 2013;17(1):15-22.

Motewar A, Tilak M, Patil D, Bhamare N, Bhople L. Laparoscopic versus open management of duodenal perforation-a comparative study at general district hospital. Prz Gastroentrol. 2013;8(15):315-9.

Hamed Al Wadaani. Emergent laparoscopy in treatment of perforated peptic ulcer- a local experience from a tertiary centre in Saudi Arabia. World J Emer Surg. 2013;8(10):1186.

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

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

Vaidya BB, Garg CP, Shah JB. laparoscopic repair of perforated peptic ulcer with delayed presentation. J Laparoendosco Adv Surg Tech A. 2009;19(2):153-6.

Lunevicius R, Morkevious M. Risk factors influencing the early outcome result after laparoscopic repair of perforated duodenal ulcer and their predictive values. Langenbeck Arch Surg. 2005;390(5):413-20.

Abd Ellatif ME, Salama AF, Elezaby AF, El-Kaffas HF, Hassan A, Magdy A. Laparoscopic repair of perforated peptic ulcer: Patch versus simple closure. IJSU. 2013;1016.

Lunevicius R, Morkevious M. Perforated duodenal ulcer-benefits andrisk of laparoscopic repair. Medicina(Kaunas). 2004;40(6):522-37.