Laparoscopic versus open repair of perforated peptic ulcer

Abstract EN

Peptic ulcer is the most common GIT disorder with a prevalence of 2 %, peaking around the age of 70 years.

Laparoscopic repair of perforated peptic ulcer began to evolve and replace the ordinary upper laparotomy.

We studied 47 patients suffering from perforated duodenal or gastric ulcer in Al-Mawanee General Hospital in Basrah in the period 2014-2017, the patients were categorized into 2 groups: 1st group(24 patients) managed laparoscopically and the 2nd group (23 patients) managed by open approach.

Perforation found to occur more with duodenal ulcer (29 pt.

61.70 %) and more in male patients (26 pt.

55.33 %).

The peak perforation seen in age group > 60 years and the commonest risk factors was the NSAIDs usage.

Operative time was insignificantly longer in laparoscopic approach.

However, the laparoscopic approach has less post operative pain and less overall complications (4 pt.

16.6 % vs.

8 pt.

34.7 %).

In conclusion, laparoscopic repair of perforated peptic ulcer is a feasible operation and considered promising with less postoperative pain, less postoperative complications and better cosmetic results.