Surgical results for repair of perforated duodenal ulcer at Bachmai Hospital
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Abstract
Perforation of duodenal ulcers is one of the common diseases that require emergency operation. Laparoscopic treatment is increasingly popular on selected subjects with good results such as short hospital stay, less pain, reduced risk of intestinal adhesions and wound infection. The purpose of this study is to compare the results of laparoscopic surgery and open method to repair perforated duodenal ulcers by retrospective description method of patients at Bach Mai Hospital for 2 years from 1/2018 to 12/2019. Results: from 93 patients, 31 had open operations and 62 laparoscopic surgeries. Patients in the laparoscopic surgery group had premature ulcers (72.6%), ulcer size 5-10mm (85.5%), simple stitches (77.3%), conjunctival attachment (22.7%). The laparoscopic group used less cleaning fluid than the open surgery group. The time for laparoscopic surgery was 69.3 ± 20.1 minutes, open surgery was 59.7 ± 5.4 minutes. Complications after surgery were only seen in the open surgery group, including 3 wound infections, 1 postoperative leak, and 1 serious patient asked to be discharged . Duration of hospital stay in the laparoscopic group was 6.0 ± 1.1 days and the open group was 8.5 ± 4.0 days. Conclusion: laparoscopic surgery is an effective treatment method for duodenal ulcers perforation with a short hospital stay, no complications and death.
Article Details
Keywords
duodenal ulcer, ulcer perforation, open surgery, laparoscopic surgery.
References
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