Surgical endoscopy · 2007
Laparoscopic repair of perforated duodenal ulcers: the simple "one-stitch" suture with omental patch technique.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Song Kyo-Young, Kim Taeg-Hyun, Kim Seung-Nam, Park Cho-Hyun
Аннотация
BACKGROUND: We present, here, the technique and results of our laparoscopic simple "one-stitch" suture with omental patch technique for treating 35 patients with perforated duodenal ulcer.
METHODS: The laparoscopic treatment included peritoneal lavage, suture of the perforation without knotting, and then tying the suture over the omentum. Follow-up gastroscopy was performed after an eight-week course of medication with proton-pump inhibitors.
RESULTS: Conversion to laparotomy was necessary for two patients, because of a large-sized perforation and the inadequate localization of the perforation site, respectively. The mean operative time was 64 minutes and the mean hospital stay was 6.8 days. Operation-related complications occurred in two patients, including one case of pneumonia and one case of gastric stasis.
CONCLUSIONS: This simple "one-stitch" suture with omental patch technique is a safe and easy procedure, and it has an acceptable morbidity rate and a low conversion rate.
METHODS: The laparoscopic treatment included peritoneal lavage, suture of the perforation without knotting, and then tying the suture over the omentum. Follow-up gastroscopy was performed after an eight-week course of medication with proton-pump inhibitors.
RESULTS: Conversion to laparotomy was necessary for two patients, because of a large-sized perforation and the inadequate localization of the perforation site, respectively. The mean operative time was 64 minutes and the mean hospital stay was 6.8 days. Operation-related complications occurred in two patients, including one case of pneumonia and one case of gastric stasis.
CONCLUSIONS: This simple "one-stitch" suture with omental patch technique is a safe and easy procedure, and it has an acceptable morbidity rate and a low conversion rate.