Langenbeck's archives of surgery · 2003
Laparoscopic repair of perforated gastroduodenal ulcer by running suture.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Köninger Jörg, Böttinger Peter, Redecke Jens, Butters Michael
Аннотация
BACKGROUND AND AIMS: Perforated gastroduodenal ulcer represents an emergency situation that requires immediate surgical intervention. Laparoscopic ulcer repair is a feasible and safe procedure, especially in cases of a short duration of ulcer perforation and good clinical condition. However, to be well accepted as a treatment modality, an endoscopic procedure should be as simple as possible. We describe a technique that does not require intra-corporal or extra-corporal knotting.
PATIENTS AND METHODS: Over a 4-year period, we performed 786 diagnostic laparoscopies for various, acute abdominal conditions. We identified 20 gastroduodenal perforations. All ulcers were closed with a one-row running suture (Lahodny) and controlled radiologically on the third postoperative day.
RESULTS: Three different surgeons performed the surgeries. There were no conversions to open surgery. Median operating time was 50 min, and median hospital stay was 9 days. We observed no insufficiency, no wound infection, and no stenosis or persisting peritonitis.
CONCLUSION: The closure of perforated gastric ulcers with the Lahodny suture is safe and simple to perform.
PATIENTS AND METHODS: Over a 4-year period, we performed 786 diagnostic laparoscopies for various, acute abdominal conditions. We identified 20 gastroduodenal perforations. All ulcers were closed with a one-row running suture (Lahodny) and controlled radiologically on the third postoperative day.
RESULTS: Three different surgeons performed the surgeries. There were no conversions to open surgery. Median operating time was 50 min, and median hospital stay was 9 days. We observed no insufficiency, no wound infection, and no stenosis or persisting peritonitis.
CONCLUSION: The closure of perforated gastric ulcers with the Lahodny suture is safe and simple to perform.