Laparoscopic approach to perforated duodenal ulcer

D. Rosin*, Y. Kurianski, M. Shabtai, A. Ayalon

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

As laparoscopy becomes more prevalent, it is being used for a growing variety of abdominal operations, both electively and as emergency treatment. We describe our preliminary experience in laparoscopic repair of perforated duodenal ulcer. 2 women and 2 men, aged 40-78 were operated over a period of 4 months and in all laparoscopic suture and omentopexy were performed with meticulous abdominal lavage. Despite somewhat longer operative time but a similar period of hospitalization, the easier post-operative course and fewer wound complications justify this technique. The effectiveness of medical treatment of peptic disease, and especially the anti-Helicobacter pylori regimen, supports the view that closure of the perforation is usually enough, and vagotomy is not needed.

Original languageEnglish
Pages (from-to)770-772, 831
JournalHarefuah
Volume134
Issue number10
StatePublished - 15 May 1998
Externally publishedYes

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