ROLE OF LAPAROSCOPIC SURGERY FOR THE MANAGEMENT OF PERFORATED PEPTIC ULCER. OUTCOMES OF 37 CASES.

Abstract

Purpose: The aim of this study is to present our experience in UMHATEM "Pirogov" in the laparoscopic treatment of perforated peptic ulcer in the last two years. Material and Methods: A total of 37 patients with the diagnosis of perforated peptic ulcer were hospitalized for a period of two years from 1. 1. 2015 to 1. 1. 2017 in the Department of General, Visceral and Emergency Surgery at UMHATEM "Pirogov". Of these, women were 11 (29.73%) and men 26 (70.27%). The age in this retrospective analysis varied from 18 to 71 years (average 47 years.). Results: In 34 cases perforation was localized in the stomach (91.89%) and in three in the duodenum (8.11%). In 6 patients (16.22%), the ulcer was of a chronic nature (broad, raised edges), and in the remaining 31, it was acute (83.78%). Laparoscopic treatment was performed in 33 (89.19%) patients. The surgical methods were primary suture or omentoplastica. Three patients had post-operative infections of the abdominal wounds (morbidity-8.11%). One patient died (2.7%). Conclusions: Laparoscopic treatment of perforated peptic ulcer is a safe method with low morbidity and mortality rates, reduced postoperative pain (hence a decrease in the amount of analgesics) as well as a short hospital stay and early recovery to normal activities.

Keywords

• perforated peptic ulcer
• peritonitis
• approach
• conventional surgery
• laparoscopy