Outcome of Laparoscopic repair of perforated peptic and duodenal ulcer, Kalasin Hospital

Abstract

          Owing to advancements in surgical technique, laparoscopic surgery is widely used as a substitutional treatment for conventional open surgical repair because of less postoperative pain, reduced length of hospital stay, and early recovery. This retrospective descriptive study was conducted to demonstrate the outcomes of laparoscopic repair of peptic and duodenal ulcer perforation in Kalasin Hospital from January 2021 to December 2023. There were 20 enrollment cases. Data were reviewed and recorded by medical form and analyzed using descriptive statistics including percent, average, median, and standard deviation. For the results, the average operative time was 81.00 ± 21.92 minute, the most common procedure was trocar applied 3 ports (90%), 11 cases (55%) had a moderate degree of intra-abdominal contamination and estimated blood loss was 10 ml. (Q1-Q3: 5.5-10). No one underwent re-operation. Immediate post-operative complication was found in 1 case (5%) due to pneumonia, and the patient was against advice to treat. There were 2 patients (10%) who required a ventilator and ICU stay. Length of hospital stay was 6 days (Q1-Q3: 5.5 - 7). 19 patients (95%) were discharged with approval. After operative for 8 weeks, all patients were evaluated by EGD scope and mucosal biopsy. 11 patients had H. pylori infection (55%) and 8 patients had chronic ulcer (40%). Laparoscopic repair is an effective and feasible choice of perforated peptic/duodenal ulcer treatment pragmatical in center with specialists and appropriate devices.