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- Title
Laparoscopy in Acute Care Surgery: Repair of Perforated Duodenal Ulcer.
- Authors
Jamal, Mohammad H.; Karam, Abdulazeez; Alsharqawi, Nourah; Buhamra, Abdulla; AlBader, Ibtesam; Al-Abbad, Jasem; Dashti, Mohammad; Abulhasan, Yaser B.; Almahmeed, Husain; AlSabah, Salman; Jamal, Mohammad H; Abulhasan, Yaser B
- Abstract
<bold>Introduction: </bold>The use of laparoscopic management as a first choice for the treatment of duodenal perforation is gaining ground but is not routine in many centers. In this report, we aim to report our experience with laparoscopy as the first approach for the repair of duodenal perforation.<bold>Materials and Methods: </bold>This is a retrospective review of patients during our initial experience with the use of laparoscopy for the treatment of duodenal perforation between 2009 and 2013.<bold>Results: </bold>A total of 100 patients underwent management of duodenal perforation. Laparoscopy was attempted initially in 76 patients (76%) and completed in 64 patients (64%). The length of hospital stay was shorter in the laparoscopic group (mean 2.6) than in the open group (mean 3.1) (p = 0.008). Complications developed in 14 patients (20%). There was a tendency towards fewer admissions to intensive care, less acute kidney injuries, and less acute respiratory distress syndrome in the laparoscopic group. In patients who underwent laparoscopic surgery, the chances of uneventful recovery were 4.3 times higher than in those patients who underwent open surgery (95% CI 1.3-13.5, p = 0.014).<bold>Conclusions: </bold>Laparoscopy in the treatment of perforated duodenal ulcer is safe and can be utilized as a routine approach for the treatment of this pathology.
- Subjects
KUWAIT; DUODENAL ulcers; ADULT respiratory distress syndrome; LAPAROSCOPY; LAPAROSCOPIC surgery; ACUTE kidney failure; LENGTH of stay in hospitals; ORGAN rupture; COMORBIDITY; TREATMENT effectiveness; RETROSPECTIVE studies; INTESTINAL perforation
- Publication
Medical Principles & Practice, 2019, Vol 28, Issue 5, p442
- ISSN
1011-7571
- Publication type
journal article
- DOI
10.1159/000500107