Laparoscopic Repair of Perforated Duodenal Ulcer

Abstract

Although prevalence of peptic ulcer is decreasing, the number of duodenal ulcer perforations appears to be unchanged. This complication of duodenal ulcer is traditionally surgically treated. Laparoscopic treatment of perforated duodenal ulcer has been described as safe and advantageous compared to open technique but advantages are still not clear due to small number of cases in published studies. Based on these recommendations we decided to study the effectiveness of laparoscopic treatment of perforated peptic duodenal ulcer. In this prospective study we evaluated the first 10 patients at KRISHNA HOSPITAL,KARAD in whom we performed laparoscopic repair of perforated duodenal ulcer. There were no conversions to open procedure and no early postoperative complications. The patients were contacted by phone a year after the operation, and all were satisfied with the operation and the appearance of postoperative scars. No postoperative complications were noted. Laparoscopic repair of selected patients with perforated duodenal ulcer is a safe and effective method if adequate expertise is achieved.