الفهرس | Only 14 pages are availabe for public view |
Abstract Laparoscopic surgery has become a standard of care in many of the elective procedures; however, it is still gaining popularity in conditions associated with peritonitis, such as perforated peptic ulcer. Objective: The aim of this study is to compare between laparoscopic and open repair of perforated peptic ulcer in term of technical feasibility, surgical outcome, and complications. Patients and methods: This is a prospective, randomized controlled study on 80 patient with acute perforated peptic ulcer admitted to general surgery department in Kasr EL Ainy teaching hospital and El-Maadi military compound. Results: Patients classified into two groups, Laparoscopy group (40 patient) & open surgery group (40 patient) comparative statistics between two groups revealed non-significant difference as regard age and sex of patients (P>0.05), non-significant difference as regard all co-morbidities (P>0.05), highly significant decrease in post-operative pain, return of bowel habits and hospital stay in laparoscopy group compared to open surgery group (P<0.05 respectively), highly significant decrease in complications rate and wound infection in laparoscopy group compared to open surgery group (P<0.05 respectively). Conclusion: Laparoscopic repair of perforated peptic ulcer causes less postoperative pain, post-operative complications, hospital stay. |