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Corresponding Author

Abdul Latif, Ahmed

Document Type

Original Article

Abstract

Background: One of the most prevalent disorders seen in patients who present to the emergency rooms with severe abdominal pains is duodenal ulcer perforation. Accurate diagnosis and immediate repair should be done as early as possible. Surgical repair using Graham omental patch can be achieved either by open technique or done laparoscopically. The comparison between open and laparoscopic repair were compared and evaluated in our study. Objective: Comparison between the efficacy, advantages, disadvantages, limitations, post-operative pain, and complications leading to morbidity and death, length of stay in hospital, recurrence and return to normalcy in open and laparoscopic procedures. Patients and Methods: From January 2021 to July 2021, the Department of General Surgery at Al-Azhar University Hospitals in Cairo, Egypt, carried out this prospective study. It included 30 patients with perforated duodenal ulcer. Those patients have been classified into 2 groups that were equal in size, first group underwent laparoscopic procedure while other group submitted to open repair. Comparison was applied between the two groups. Results: Laparoscopy repair outperforms open repair in terms of postsurgical pains, bowel habit return, initiation of oral diet, and hospital duration of stay. However, there is a longer period of time and a larger prevalence of intra-abdominal collection. Post-operative complications are more common with open repairs. Conclusion: Laparoscopic repair of perforated peptic ulcers is a safe emergency treatment with several benefits, including reduced postsurgical pain, earlier bowel habit return, earlier initiation of oral diet, shorter hospital stay, better esthetic results, as well as fewer postsurgical complications.

Keywords

Perforated; Duodenal; ulcer

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