The simple suture laparoscopic repair of peptic ulcer perforation without an omental patch

Ateş, Mustafa; Dirican, Abuzer

doi:10.1007/s00464-011-1878-8

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…Ates et al [15] compared LPPU without an omental patch with conventional open surgery, and the mean operating time for laparoscopic repair was significantly shorter. Although several reports in the literature have demonstrated the safety of LPPU without an omental patch [15][16][17], the question remains as to whether it is safe to abandon the omental patch completely [6,18].…”

Section: Discussionmentioning

confidence: 99%

Sutureless Onlay Omental Patch for the Laparoscopic Repair of Perforated Peptic Ulcers

Hsieh

2014

World j. surg.

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Section: Discussionmentioning

confidence: 99%

Sutureless Onlay Omental Patch for the Laparoscopic Repair of Perforated Peptic Ulcers

Hsieh

2014

World j. surg.

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“…Closure from the Graham patch is associated with a high recurrence of the ulcer, reported in up to 63%, when Helicobacter pylori infection is not eradicated [25]. Despite the uncertainties of certain specialist to abandon the omental patch and perform only simple closure, works are described in the literature where it is plausible to repair perforations using simple closure individually [17,26]. This simple closure is based on repairing the perforation using a continuous suture technique, also called primary closure [22].…”

Section: Discussionmentioning

confidence: 99%

Perforated Peptic Ulcer: Surgical Management in the University Hospital of Maracaibo, Experience in 4 Years

Añolis¹,

Reyes²,

Awad³

et al. 2022

Act Scie Gastro

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Peptic ulcer perforation is a frequent emergency, which must be resolved on time. It is closely related to Helicobacter pylori infection, smoking and the consumption of NSAIDs. The aim was to determine the surgical management and the description of the intraoperative findings in patients admitted with the diagnosis of perforated peptic ulcer in the General Surgery Service of the University Hospital of Maracaibo. The clinical history of 42 patients diagnosed with Perforated Peptic Ulcer, admitted in the General Surgery service of the University Hospital of Maracaibo in a period from January 2016 to June 2019, was reviewed. The average age of onset was 44.88 ± 6.04 years. 88.09% of the patients belonged to the male sex. On the other hand, the most frequent location of the ulcer corresponded to those of grade III, according to the classification of peptic ulcers described by Johnson. The techniques implemented for the closure correspond to, simple closure in 5 (11.90%), ulcorraphy + Graham patch omentopexy in 29 (69.04%) and Heineke-Mikulicz pyloroplasty in 8 (19.04%) cases. Mortality was located at 16.66% associated with sepsis. It was concluded that the management of the perforated peptic ulcer was carried out mainly by ulcorraphy + Graham patch omentopexy, then by pyloroplasty, and lastly by simple ulcer closure.

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“…9 Ates e Dirican et al concluíram que o simples reparo sutura de PPU sem remendo omental é boa opção para o reparo com base em critérios que incluem a duração dos sintomas, o Mannheim Peritoneal Index (MPI), o escore da ASA (American Society of Anesthesiologists) e o tamanho da perfuração (> 12mm). 10 Um estudo retrospectivo realizado em 2013 envolvendo 179 pacientes operados de junho de 2005 a dezembro de 2012, mostrou que a sutura simples possuía tempos de permanência hospitalar, tempo para retorno da ingestão oral, complicações pós-operatórias e resultados cirúrgicos semelhantes à abordagem laparoscópica com sutura reforçada com patch omental, com a vantagem de apresentar tempo cirúrgico 11 No entanto, o reparo laparoscópico envolvendo sutura com reforço omental permanece ainda como o procedimento padrão.…”

Section: Tipos De Reparo Laparoscópicounclassified

O papel da videolaparoscopia para o tratamento de úlceras pépticas perfuradas: revisão de literatura

Pinto¹,

Costa²

2018

Rev. Med. UFC

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A doença ulcerosa péptica possui prevalência estimada em 5% a 15% da população. A perfuração é uma complicação da doença ulcerosa péptica, consistindo em uma emergência cirúrgica que possui taxa de mortalidade de 15%. O tratamento dessa complicação tem evoluído para abordagens menos invasivas visando a melhores resultados e estadias hospitalares. O presente estudo tem por objetivo apresentar o papel da abordagem laparoscópica no tratamento de úlceras pépticas perfuradas.

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The simple suture laparoscopic repair of peptic ulcer perforation without an omental patch

Cited by 7 publications

References 4 publications

Sutureless Onlay Omental Patch for the Laparoscopic Repair of Perforated Peptic Ulcers

Sutureless Onlay Omental Patch for the Laparoscopic Repair of Perforated Peptic Ulcers

Perforated Peptic Ulcer: Surgical Management in the University Hospital of Maracaibo, Experience in 4 Years

O papel da videolaparoscopia para o tratamento de úlceras pépticas perfuradas: revisão de literatura

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