E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Role of laparoscopic surgery for management of duodenal ulcer perforation

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal.

Abstract
Background: The chief support of remedy of patients with peptic duodenal perforation is surgery. With the invention of minimal access procedures, laparoscopy is being used for the treatment of this condition.

Objective: To establish the role of laparoscopy in duodenal ulcer perforation.

Materials and Methods: This is a nonrandomized, controlled clinical trial. Patients diagnosed with perforated peptic ulcers, admitted to VS Hospital during the period of January 2013–June 2014, underwent either open or laparoscopic suture omental patch repair. A total of 20 patients were included in the study; 10 in laparoscopic group and 10 in open group.

Result: This observational study revealed 80% male preponderance, and 57% of them were in the fourth, fifth, and sixth decades, with mean age of 50 years. The duration of surgery was 56 min in open group when compared with 76 min in laparoscopic group. The duration of antibiotic usage in open group was 5 days when compared with 3 days in laparoscopic group. The usage of analgesics in open group was 7 days when compared with 5 days in laparoscopic group. The hospital stay for open surgery was 8 days when compared with 6 days in laparoscopic group. There were wound infections in three patients in open group when compared with one in laparoscopic group. No leakage was reported in either group. Two patients in laparoscopic group needed conversion.

Conclusion: Results of laparoscopic management of perforated peptic ulcer are encouraging, with no conversion to open surgery, low morbidity, and no mortality.

Key words: Laparoscopy, peritonitis, duodenal ulcer perforation


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Amit H Joshi
Articles by Pratik H Vyas
Articles by Jaimini Jayswal
on Google
on Google Scholar
Article Statistics
 Viewed: 2944
Downloaded: 520
Cited: 0


REFERENCES
1. Kirkpatrick Jr, Bouwman DL. A logical solution to the perforated ulcer controversy. Surg Gynecol Obstet 1980;150(5):683-6.
2. Watkins RM, Dennison AR, Collin J. What has happened to perforated peptic ulcer? Br J Surg 1984;71(10):774-6. [DOI via Crossref]    [Pubmed]   
3. Sommer T, Elbroend H, Friis-Andersen H. Laparoscopic repair of perforated ulcer in Western Denmark—a retrospective study. Scand J Surg 2010;99(3):119-21. [Pubmed]   
4. Arnaud JP, Tuech JJ, Bergamaschi R, Pessaux P, Regenet N. Laparoscopic suture closure of perforated duodenal peptic ulcer. Surg Laparosc Endosc Percutan Tech 2002;12(3):145-7. [DOI via Crossref]    [Pubmed]   
5. Schein M, Gecelter G, Freinkel W, Gerding H, Becker PJ. Peritoneal lavage in abdominal sepsis. A controlled clinical study. Arch Surg 1990;125(9):1132-5. [DOI via Crossref]    [Pubmed]   
6. Lau H. Laparoscopic repair of perforated peptic ulcer: a metaanalysis. Surg Endosc 2004;18(7):1013-21. [DOI via Crossref]    [Pubmed]   
7. Tsumura H, Ichikawa T, Hiyama E, Murakami Y. Laparoscopic and open approach in perforated peptic ulcer. Hepatogastroenterology 2004;51(59):1536-9. [Pubmed]   
8. Lau WY, Leung KL, Kwong KH, Davey IC, Robertson C, Dawson JJ, et al. A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. Ann Surg 1996;224(2):131-8. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
9. Svanes C. Trends in perforated peptic ulcer: incidence, etiology, treatment, and prognosis. World J Surg 2000;24(3):277-83. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal. Role of laparoscopic surgery for management of duodenal ulcer perforation. Int J Med Sci Public Health. 2016; 5(4): 807-809. doi:10.5455/ijmsph.2016.04122015292


Web Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal. Role of laparoscopic surgery for management of duodenal ulcer perforation. http://www.ijmsph.com/?mno=209847 [Access: July 17, 2019]. doi:10.5455/ijmsph.2016.04122015292


AMA (American Medical Association) Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal. Role of laparoscopic surgery for management of duodenal ulcer perforation. Int J Med Sci Public Health. 2016; 5(4): 807-809. doi:10.5455/ijmsph.2016.04122015292



Vancouver/ICMJE Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal. Role of laparoscopic surgery for management of duodenal ulcer perforation. Int J Med Sci Public Health. (2016), [cited July 17, 2019]; 5(4): 807-809. doi:10.5455/ijmsph.2016.04122015292



Harvard Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal (2016) Role of laparoscopic surgery for management of duodenal ulcer perforation. Int J Med Sci Public Health, 5 (4), 807-809. doi:10.5455/ijmsph.2016.04122015292



Turabian Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal. 2016. Role of laparoscopic surgery for management of duodenal ulcer perforation. International Journal of Medical Science and Public Health, 5 (4), 807-809. doi:10.5455/ijmsph.2016.04122015292



Chicago Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal. "Role of laparoscopic surgery for management of duodenal ulcer perforation." International Journal of Medical Science and Public Health 5 (2016), 807-809. doi:10.5455/ijmsph.2016.04122015292



MLA (The Modern Language Association) Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal. "Role of laparoscopic surgery for management of duodenal ulcer perforation." International Journal of Medical Science and Public Health 5.4 (2016), 807-809. Print. doi:10.5455/ijmsph.2016.04122015292



APA (American Psychological Association) Style

Amit H Joshi, Pratik H Vyas, Jaimini Jayswal (2016) Role of laparoscopic surgery for management of duodenal ulcer perforation. International Journal of Medical Science and Public Health, 5 (4), 807-809. doi:10.5455/ijmsph.2016.04122015292





Most Viewed Articles
  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Elevated levels of serum uric acid, creatinine or urea in preeclamptic women
    Magna Manjareeka, Sitikantha Nanda
    Int J Med Sci Public Health. 2013; 2(1): 43-47
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.43-47

  • Maternal and fetal outcome in oligohydramnios- Study of 100 cases
    Krishna Jagatia, Nisha Singh, Sachin Patel
    Int J Med Sci Public Health. 2013; 2(3): 724-727
    » Abstract & References » doi: 10.5455/ijmsph.2013.070520132

  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Prevalence and pattern of substance abuse among school childern in nothern India: A rapid assesment study
    Syed Shuja Qadri, RKD Goel, Jagjeet Singh, Surendra Kumar Ahluwalia, Rambha Pathak, Humaira Bashir
    Int J Med Sci Public Health. 2013; 2(2): 273-282
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.271-280

  • Most Downloaded
  • Minor disorder of pregnancy and its home management
    Lata Gururani, Atul Kumar, Gomathi Mahalingam
    Int J Med Sci Public Health. 2016; 5(4): 684-687
    » Abstract & References » doi: 10.5455/ijmsph.2016.03082015111

  • Association between serum ferritin and thyroid hormone profile in hypothyroidism
    Ashuma Sachdeva, Veena Singh, Isha Malik, Prasanta Saha Roy, Himanshu Madaan, Rajesh Nair
    Int J Med Sci Public Health. 2015; 4(6): 863-865
    » Abstract & References » doi: 10.5455/ijmsph.2015.24012015174

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Effect of sleep deprivation on the attitude and performance of medical students, Riyadh, Saudi Arabia
    Hussein Saad Amin, Ibrahim Salamah Almazroua, Abdullah Sulaiman Alsahlan, Mohammed Abdullah Alrishan, Houssam Mourad Elmourad, Mohammed Mansour Alotaibi, Abdulaziz Ibrahim Almohaisin
    Int J Med Sci Public Health. 2016; 5(3): 575-580
    » Abstract & References » doi: 10.5455/ijmsph.2016.17112015207

  • Epidemiology and prevalence of dermatological diseases among schoolchildren of Medak district, Telangana—a clinical survey
    Lakshmi Kumari Villa, Gopi Krishna
    Int J Med Sci Public Health. 2016; 5(7): 1475-1478
    » Abstract & References » doi: 10.5455/ijmsph.2016.28102015238

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • A study on various factors affecting family planning practices among eligible couples in urban slums of municipal corporation area in Jamnagar, Gujarat, India
    Hetal T Koringa, Krupal J Joshi, Jitesh P Mehta
    Int J Med Sci Public Health. 2015; 4(12): 1675-1680
    » Abstract & References » doi: 10.5455/ijmsph.2015.11042015343

  • Family planning knowledge, attitude, and practices among the currently married women (aged 15–45 years) in an urban area of Rohtak district, Haryana
    Vikas Gupta, Debjyoti Mohapatra, Vijay Kumar
    Int J Med Sci Public Health. 2016; 5(4): 627-632
    » Abstract & References » doi: 10.5455/ijmsph.2016.12082015100

  • Most Cited Articles
  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6
    Cited : 25 times [Click to see citing articles]

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11
    Cited : 13 times [Click to see citing articles]

  • Design of fuzzy expert system for diagnosis of cardiac diseases
    Smita Sushil Sikchi , Sushil Sikchi , M S ALI
    Int J Med Sci Public Health. 2013; 2(1): 56-61
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.56-61
    Cited : 9 times [Click to see citing articles]

  • Sugammadex associate persistant bradycardia
    Murat Bilgi, Abdullah Demirhan, Akcan Akkaya, Umit Yasar Tekelioglu, Hasan Kocoglu
    Int J Med Sci Public Health. 2014; 3(3): 372-374
    » Abstract & References » doi: 10.5455/ijmsph.2013.251220131
    Cited : 8 times [Click to see citing articles]

  • Migration and health-care access: Barriers to access government health services by migrant tribal community living in an eastern Indian city
    Suchismita Mishra, Yadlapalli S Kusuma, Bontha V Babu
    Int J Med Sci Public Health. 2015; 4(1): 101-108
    » Abstract & References » doi: 10.5455/ijmsph.2015.0110201424
    Cited : 7 times [Click to see citing articles]

  • Clinico-microbiological profile of women with vaginal discharge in a tertiary care hospital of northern India
    Varsha Chaudhary, Ved Prakesh, Kian Agarwal, Vijender Kumar Agrawal, Arun Singh, Sachin Pandey
    Int J Med Sci Public Health. 2012; 1(2): 75-80
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.75-80
    Cited : 6 times [Click to see citing articles]

  • Correlation between obesity and cardio respiratory fitness
    Prabha Setty, BV Padmanabha, BR Doddamani
    Int J Med Sci Public Health. 2013; 2(2): 300-304
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.298-302
    Cited : 6 times [Click to see citing articles]

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42
    Cited : 6 times [Click to see citing articles]

  • Non albicans Candida species: its isolation pattern, species distribution, virulence factors and antifungal susceptibility profile
    Sachin Chandrakant Deorukhkar, Santosh Saini
    Int J Med Sci Public Health. 2013; 2(3): 533-538
    » Abstract & References » doi: 10.5455/ijmsph.2013.080320131
    Cited : 6 times [Click to see citing articles]

  • Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions
    Divija Pillai, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, Velavan Anandan
    Int J Med Sci Public Health. 2015; 4(7): 957-960
    » Abstract & References » doi: 10.5455/ijmsph.2015.30012015196
    Cited : 6 times [Click to see citing articles]