Laparoscopic Omental Patch Repair of Peptic Ulcer Perforation

Muhammad Shahzad, DOC

Holy Family Hospital, Rawalpindi, Pakistan

Introduction: laparoscopic surgery in emergency setting brought a significant improvement in the outcome of the patients. Laparoscopic way of dealing the perforated peptic ulcer is now frequently performed in areas of expertise worldwide. The decision making for laparoscopic surgery for the patient presenting with peritonitis is difficult. Most studies shows that the laparoscopic approach has the disadvantages interms of long operative time, chances of reopen and above all, the expertise.

Patients and Methods: the study is conducted in Surgery department, holy family Hospital, Rawalpindi, Pakistan From March 2011 to August, 2012, a series of 60 consecutive patients with the diagnosis of perforated duodenal ulcer were prepared prospectively to find out the efficacy and outcome of the patient with laparoscopic repair.

Results: out of 60 patients 57 patients undergo successful laparoscopic repair with female to male ratio of 1:1.42. 3 patients are opened and the finding is concealed perforation. The mean age of the group is 31 years (SD 6.96). Mean operative time is 53.43 minutes (range 40-85). Patients require mean post operative analgesia 1.3 times in 24 hours. The mean stay in the hospital is 3.6 days. The postoperative complication mainly encountered is respiratory tract infection in 12.3 percent cases, umbilical port site infection in 8.7 percent cases.

Conclusion: laparoscopic omental patch repair of perforated peptic ulcer carries less morbidity and mortality and early return of patients to their normal daily routine.

Session: Poster Presentation

Program Number: P540

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