Laparoscopic repair of perforated gastroduodenal ulcer by running suture

Köninger, Jörg; Böttinger, Peter; Redecke, Jens; Butters, M.

doi:10.1007/s00423-003-0427-x

Cited by 16 publications

(13 citation statements)

References 32 publications

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“…There are other treatment options for perforated peptic ulcer such as Billroth I, Billroth II, and truncal vagotomy drainage procedure [11,12]. Laparoscopic repair of perforated gastroduodenal ulcer by running suture is an option [13]. Gastric ulcer rarely presents with perforation peritonitis; gastric perforations are related to the widespread use of NSAIDs [14].…”

Section: Discussionmentioning

confidence: 99%

Spectrum of Perforation Peritonitis in Delhi: 77 Cases Experience

Yadav

Garg

2012

Indian J Surg

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Perforation peritonitis is the most common surgical emergency encountered by surgeons all over the world as well in India. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counterpart. This study was conducted at Hindu Rao Hospital, Municipal Corporation of Delhi, New Delhi, India, designed to highlight the spectrum of perforation peritonitis in the eastern countries and to improve its outcome. This prospective study included 77 consecutive patients of perforation peritonitis studied in terms of clinical presentations, causes, site of perforation, surgical treatment, postoperative complications, and mortality at Hindu Rao Hospital, Delhi, from March 1, 2011 to December 1, 2011, over a period of 8 months. All patients were resuscitated and underwent emergency exploratory laparotomy. On laparotomy cause of perforation peritonitis was found and controlled. The most common cause of perforation peritonitis noticed in our series was perforated duodenal ulcer (26.4 %) and ileal typhoid perforation (26.4 %), each followed by small bowel tuberculosis (10.3 %) and stomach perforation (9.2 %), perforation due to acute appendicitis (5 %). The highest number of perforations was seen in ileum (39.1 %), duodenum (26.4 %), stomach (11.5 %), appendix (3.5 %), jejunum (4.6 %), and colon (3.5 %). Overall mortality was 13 %. The spectrum of perforation peritonitis in India continuously differs from western countries. The highest number of perforations was noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part. The most common cause of perforation peritonitis was perforated duodenal ulcer and small bowel typhoid perforation followed by typhoid perforation. Large bowel perforations and malignant perforations were least common in our setup.

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Section: Discussionmentioning

confidence: 99%

Spectrum of Perforation Peritonitis in Delhi: 77 Cases Experience

Yadav

Garg

2012

Indian J Surg

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“…There remains no consensus in the literature as to the ideal method of PPU repair although multiple techniques have been described. 18,21,22,[38][39][40] In our study, the method of repair was left to the discretion of the operating surgeon ( Table 2). There were no incidences of post-operative leak or morbidity due to the technical factors in ulcer repair.…”

Section: Discussionmentioning

confidence: 99%

Management of perforated peptic ulcer in a district general hospital

Critchley

Phillips

Bawa

et al. 2011

annals

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“…We have not seen any leak or fistula formation with this suture. Koninger et al [12] has reported the safe use of PDS Lahodny suture. In his opinion, the advantages of this monofilament running suture may lie in meticulous closure of the perforation and easier closure of the defect with rigid edges.…”

Section: Discussionmentioning

confidence: 99%