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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2019, vol. 25, issue4
Subject Area: Medicine
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DOI: 10.5272/jimab.2019254.2812
Published online: 09 December 2019
Original article
J of IMAB. 2019 Oct-Dec;25(4):2812-2816;
ROLE OF LAPAROSCOPIC SURGERY FOR THE MANAGEMENT OF PERFORATED PEPTIC ULCER. OUTCOMES OF 37 CASES.
Konstantin Kostov
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Department of General, Visceral and Emergency Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N. I. Pirogov” – Sofia, Bulgaria.
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,
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Please cite this article as: Kostov K. Role of laparoscopic surgery for the management of perforated peptic ulcer. Outcomes of 37 cases.. J of IMAB. 2019 Oct-Dec;25(4):2812-2816. DOI: 10.5272/jimab.2019254.2812
Correspondence to: Konstantin Kostov, MD, PhD; 3rd Surgical Clinic, UMHATEM “N. I. Pirogov”; 21, Totleben Blvd., 1606 Sofia, Bulgaria; E-mail: dr.k.kostov@gmail.com
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Received: 12 March 2019
Published online: 09 December 2019