Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and Mortality
Introduction: The mainstay of treatment for perforated peptic ulcer is Omental patch closure. With the advent of laparoscopic surgery, this approach is being used for the treatment of perforated peptic ulcer. The aim of this study was to evaluate the outcome of laparoscopy in Firoozgar general hos...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Electronic Physician
2016-06-01
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| Series: | Electronic Physician |
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965205/ |
| _version_ | 1818150795550392320 |
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| author | Mahdi Alemrajabi Saeed Safari Adnan Tizmaghz Fatemeh Alemrajabi Ghazaal Shabestanipour |
| author_facet | Mahdi Alemrajabi Saeed Safari Adnan Tizmaghz Fatemeh Alemrajabi Ghazaal Shabestanipour |
| author_sort | Mahdi Alemrajabi |
| collection | DOAJ |
| description | Introduction: The mainstay of treatment for perforated peptic ulcer is Omental patch closure. With the advent of
laparoscopic surgery, this approach is being used for the treatment of perforated peptic ulcer. The aim of this
study was to evaluate the outcome of laparoscopy in Firoozgar general hospital over a period of 18 months. The
outcome of the laparoscopic approach and the associated morbidity and mortality, operation time, conversion rate
and hospital stay were assessed.
Methods: A prospective analysis of 29 consecutive patients (mean age 37.5 years; 23 men) with perforated
peptic ulcers and who had undergone laparoscopic surgery was carried over a period of 18 months from March
2014 until September 2015. Pre-operative, intra-operative, and post-operative clinical data were collectively
analyzed by SPSS 19 for Windows.
Results: Seventeen patients had a history of cigarette smoking, 11 patients had a history of opium consumption,
19 were chronic NSAID users, 26 had Helicobacter pylori infections, and six had a co-morbid condition. Previous
surgical history included laparotomy for pancreatic cancer in two patients, for sigmoid colon cancer in one
patient, and for acute appendicitis in four patients. The average operating time for all cases was 47.5 + 20 min.
The mean lag time between onset of symptoms and surgery was 20.4 hours. All patients underwent laparoscopic
closure of the perforation with Omental patch closure. No morbidity was observed, and none of the patients
needed conversion to open surgery. One patient died after 11 months of follow-up due to the progression of
underlying pancreatic cancer. The mean postoperative hospital stay was 4.2 days.
Conclusions: The results of the laparoscopic approach for perforated peptic ulcer were promising, with no
conversion to open surgery, no morbidity, and mortality |
| first_indexed | 2024-12-11T13:28:37Z |
| format | Article |
| id | doaj.art-74b794fdd09742bb96ff10c97d754515 |
| institution | Directory Open Access Journal |
| issn | 2008-5842 2008-5842 |
| language | English |
| last_indexed | 2024-12-11T13:28:37Z |
| publishDate | 2016-06-01 |
| publisher | Electronic Physician |
| record_format | Article |
| series | Electronic Physician |
| spelling | doaj.art-74b794fdd09742bb96ff10c97d7545152022-12-22T01:05:24ZengElectronic PhysicianElectronic Physician2008-58422008-58422016-06-01862543254510.19082/2543Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and MortalityMahdi AlemrajabiSaeed SafariAdnan TizmaghzFatemeh AlemrajabiGhazaal ShabestanipourIntroduction: The mainstay of treatment for perforated peptic ulcer is Omental patch closure. With the advent of laparoscopic surgery, this approach is being used for the treatment of perforated peptic ulcer. The aim of this study was to evaluate the outcome of laparoscopy in Firoozgar general hospital over a period of 18 months. The outcome of the laparoscopic approach and the associated morbidity and mortality, operation time, conversion rate and hospital stay were assessed. Methods: A prospective analysis of 29 consecutive patients (mean age 37.5 years; 23 men) with perforated peptic ulcers and who had undergone laparoscopic surgery was carried over a period of 18 months from March 2014 until September 2015. Pre-operative, intra-operative, and post-operative clinical data were collectively analyzed by SPSS 19 for Windows. Results: Seventeen patients had a history of cigarette smoking, 11 patients had a history of opium consumption, 19 were chronic NSAID users, 26 had Helicobacter pylori infections, and six had a co-morbid condition. Previous surgical history included laparotomy for pancreatic cancer in two patients, for sigmoid colon cancer in one patient, and for acute appendicitis in four patients. The average operating time for all cases was 47.5 + 20 min. The mean lag time between onset of symptoms and surgery was 20.4 hours. All patients underwent laparoscopic closure of the perforation with Omental patch closure. No morbidity was observed, and none of the patients needed conversion to open surgery. One patient died after 11 months of follow-up due to the progression of underlying pancreatic cancer. The mean postoperative hospital stay was 4.2 days. Conclusions: The results of the laparoscopic approach for perforated peptic ulcer were promising, with no conversion to open surgery, no morbidity, and mortalityhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965205/perforated peptic ulcerlaparoscopic repair |
| spellingShingle | Mahdi Alemrajabi Saeed Safari Adnan Tizmaghz Fatemeh Alemrajabi Ghazaal Shabestanipour Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and Mortality Electronic Physician perforated peptic ulcer laparoscopic repair |
| title | Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and Mortality |
| title_full | Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and Mortality |
| title_fullStr | Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and Mortality |
| title_full_unstemmed | Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and Mortality |
| title_short | Laparoscopic Repair of Perforated Peptic Ulcer: Outcome and Associated Morbidity and Mortality |
| title_sort | laparoscopic repair of perforated peptic ulcer outcome and associated morbidity and mortality |
| topic | perforated peptic ulcer laparoscopic repair |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965205/ |
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