Round Ligament Repair of the Bile Duct as Treatment of Bile Duct Injuries: Case Report

How to do laparoscopic repair of perforated anterior duodenal ulcers: a ‘three arches’ falciform patch technique simplifies the approach

“…This is demonstrated by its utility in various other pathologies such as in repair of the bile duct, oesophageal anastomotic leak post gastrectomy and gallbladder bed haemorrhage. 16,17 There is a close relationship between the first part of the duodenum and the falciform ligament, which allows for the naturally beneficial tensionless application of the patch to the duodenum. 18 This spatial relationship and robust blood supply support its use in laparoscopic repair of perforated duodenal and pyloric ulcers.…”

“…This rich vascularity supports its use as a flap to assist healing and integrity. This is demonstrated by its utility in various other pathologies such as in repair of the bile duct, oesophageal anastomotic leak post gastrectomy and gallbladder bed haemorrhage 16,17 . There is a close relationship between the first part of the duodenum and the falciform ligament, which allows for the naturally beneficial tensionless application of the patch to the duodenum 18 .…”