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Volume 4 Issue 2 (March - April, 2016)

Original Articles

Laparoscopic vs Open Surgery for the Management of Duodenal Ulcer Perforation- A Comparative Study
Monika Gupta, Alok Chhabra

Introduction: This study was taken up to compare the laparoscopic and open repairs for the management of perforated duodenal ulcer and to assess the safety and feasibility of laparoscopic route in our set-up. Materials and Methods: The main surgical treatment is simple repair of the perforation site. This can be performed as a primary closure with or without the addition of an omental patch. The open surgery was conducted by midline incision and followed the same technical guidelines. All the data expressed as median and in quartile range unless stated. Comparison between two groups was made using nonparametrical methods. Comparison was done using independent samples t-test, p < 0.05 taken as statistically significant. Results: The features included patient profile, intra-operative time, postoperative complications, pain scores (VAS), time to resume orals and hospital stay. Follow up was done for minimum one month. The mean age in open repair group was 42.58 years and in laparoscopic repair was 36.31 years. This was statistically significant. Conclusion: Laparoscopic repair of perforated peptic ulcer is a safe and reliable procedure and is proven to be efficient.

 
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