Laparoscopic repair of perforated duodenal ulcers: The simple “one-stitch” suture with omental patch technique

Song, Kyo Young; Kim, Taeg-Hyun; Kim, Seung-Nam; Park, Cho‐Hyun

doi:10.1007/s00464-007-9670-5

Cited by 41 publications

(33 citation statements)

References 13 publications

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“…[2][3][4][5] However, the routine treatment for perforated peptic ulcer still seems to be by upper laparotomy, representing the main motive for reviewing the literature. [6] The introduction of proton pump inhibitors and H2 antagonists into clinical use together with the recognition of Helicobacter pylori have caused a dramatic improvement in the medical management of uncomplicated peptic ulcer.…”

Section: Resultsmentioning

confidence: 99%

THE IMPACT of RAMADAN on PEPTIC ULCER PERFORATION

Gökakın

Kurt²,

Atabey³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇMedikal tedavi peptik ülser perforasyon (PÜP) oranlarının azalmasında önemli bir rol oynamıştır. Bu çalışmada, Ramazan ayının PÜP üzerine olan etkisi değerlendirildi. GEREÇ VE YÖNTEMPÜP nedeniyle 1999-2009 yılları arasında ameliyat edilen 229 hastanın dosyaları geriye dönük olarak analiz edildi. Hastalar iki gruba ayrıldı. Grup I (n=188) Ramazan ayı dışında ameliyat edilen hastalar, Grup II (n=41) Ramazan ayında, müslümanların oruç tutma döneminde ameliyat edilen hastalar. Grup II'deki hastalar oruç tutma süre-lerine göre de değerlendirildi. BULGULAR

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Section: Resultsmentioning

confidence: 99%

THE IMPACT of RAMADAN on PEPTIC ULCER PERFORATION

Gökakın

Kurt²,

Atabey³

et al. 2012

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…In that case, we inserted surgical gauzes between the liver bed and upper border of the duodenum to expose the operative field, and we tilted the operation table more vertically to secure an operative field. Various laparoscopic techniques have been designed to repair the perforated site and their usefulness has been evaluated [9,[12][13][14]. Since the edge of the perforation site is characterized by inflammation and friableness, a minor fissure of the repair site resulting from tight fastening might result in an unsatisfactory closure.…”

Section: Discussionmentioning

confidence: 99%

Single-port laparoscopic repair of a perforated duodenal ulcer: intracorporeal “cross and twine” knotting

et al. 2010

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“…The laparoscopic surgery for duodenal perforation was started in the year 1990 (12). A systemic review of three randomized control study in 315 patient comparing the open and laparoscopic duodenal perforation repair suggested that operative time for the laparoscopic duodenal perforation repair is less than the open as contrary to the previous studies but this study failed to suggest difference in the abdominal septic complications, pulmonary complications, morbidity, mortality, and reoperation rate (15). A systemic review of 56 studies could not suggest the better technique between the two open and laparoscopy approach (16).…”

Section: Discussionmentioning

confidence: 63%

Laparoscopic Repair of Duodenal Perforation by “Hanging Method” -Technique and Benefits

Babu

Raikhy

Ghosh

et al. 2017

J Minim Invasive Surg Sci

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Background: Laparoscopic repair of duodenal perforation using the omental patch is one of the traditional techniques, which gives better postoperative recovery in patients with little chances of abdominal wound infection. This article is about the technique used for the laparoscopic repair of the duodenal perforation by Grahams patch with a twist in the conventional technique. Methods: In Hanging method of duodenal repair first, an intra-corporeal suture is taken at the upper margin of perforation and both end of the thread is taken out of anterior abdominal wall and duodenum is pulled up. Now under vision the next two parallel sutures are passed, thus avoiding the posterior duodenal wall incorporation. Finally omentum flap is used for the closure of perforation. Conclusions:The laparoscopic closure of the duodenal perforation by "Hanging Method" is an appropriate Laparoscopic technique, as "hanging" the anterior wall of duodenum gives us better vision of the posterior wall of duodenum, while taking the suture through anterior duodenal wall. Further since the gall bladder is retracted there is an easy available working space for intracorporeal suturing.

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Laparoscopic repair of perforated duodenal ulcers: The simple “one-stitch” suture with omental patch technique

Abstract: This simple "one-stitch" suture with omental patch technique is a safe and easy procedure, and it has an acceptable morbidity rate and a low conversion rate.

Cited by 41 publications

References 13 publications

THE IMPACT of RAMADAN on PEPTIC ULCER PERFORATION

THE IMPACT of RAMADAN on PEPTIC ULCER PERFORATION

Single-port laparoscopic repair of a perforated duodenal ulcer: intracorporeal “cross and twine” knotting

Laparoscopic Repair of Duodenal Perforation by “Hanging Method” -Technique and Benefits

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