Amanda C Pysher, MD1, Lilly Meredith, BA1, C. Steeve David, MD2, C. Francisco Espinel, MD2, J. R Salameh, MD2. 1MedStar Georgetown University Hospital, 2Virginia Hospital Center
Background: In the past decade, the benefits of laparoscopic repair of perforated peptic ulcers (PPU) have been clearly established. The main drawbacks to laparoscopic repair are prolonged operative time and technical difficulty. Strategies to address these obstacles are needed.
Methods: Laparoscopic repair with modified Graham patch technique was carried out with barbed knotless suture (V-LocTM suture, Medtronic, Minneapolis, MN) on five patients who presented with PPU at a single institution. An evaluation of operative technique, post-operative management and complications was performed.
Results: Laparoscopic repair was successfully performed with the barbed knotless suture in all patients, with no patients requiring conversion to an open procedure. Mean operative time of all patients was 85.8 minutes. Mean time to initiation of feeding was 3 days and median length of hospital stay was 6 days. There were no post-operative repair leaks, reoperations, wound complications, or perioperative deaths.
Conclusion: Laparoscopic repair of PPU can be safely and efficiently performed utilizing a barbed knotless suture. Our data suggests that this technical modification can decrease procedural difficulty and operative time, which are the main challenges with laparoscopic repair.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 84821
Program Number: P429
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster