Indication of conservative therapy for perforated duodenal ulcer.

Perforated duodenal ulcer: which operation?

Between January 1968 and December 1977 a total of 230 patients with a perforated duodenal ulcer underwent emergency operation in the Royal Victoria Hospital. Simple suture closure of the perforation was carried out in 205, and in the remaining 25 a definitive ulcer procedure was performed in addition. Four patients died following operation, a mortality rate of 1.7%.During a mean follow-up perio...

Indomethacin and perforated duodenal ulcer.

of a preceding pregnancy had any effect on the outcome of the subsequent pregnancy. A first, second, or third pregnancy was taken as the index pregnancy and the outcome of the subsequent pregnancy examined. The distribution of social classes in the sample was: class I, 12 %; class II, 16 %; class III, 48 %; class IV, 13 %; class V, 4 %; and 7% of patients were of unknown social class. The table...

[Laparoscopic repair for perforated duodenal ulcer].

Laparoscopic repair of perforated duodenal ulcer.

Laparoscopic closure of an acutely perforated duodenal ulcer is an alternative procedure to open surgery. With proper training and experience this procedure might overtake laparotomy and simple closure thereby reducing the post operative morbidity in terms of reduced wound pain, short hospital stay, likely reduced wound sepsis and hernia occurrence and post operative chest complications. We rep...

Laparoscopic repair of perforated peptic duodenal ulcer.

Although prevalence of peptic ulcer is decreasing, the number of peptic ulcer perforations appears to be unchanged. This complication of peptic ulcer is traditionally surgically treated. In recent years, a number of papers have been published where the authors managed perforated duodenal peptic ulcer in selected patients using laparoscopic approach. Laparoscopic treatment of perforated duodenal...