Anna di Cona - Azienda Ospedaliero-Universitaria di Ferrara Principal Investigator: Enrico Pinotti, MDĪrcispedale S. These is linked with the advantages of laparoscopic surgery over open surgery such as reduced postoperative pain, lower wound infection rate, decreased length of hospital stay, and earlier functional recovery Nowadays due to the advances in laparoscopic technique, many publications suggest that laparoscopic repair of perforated peptic ulcers could be a superior choice to open repair. In 1992, it has been proposed that laparoscopy should be routinely considered in the management of perforated duodenal ulcer. It is associated with shorter length of stay, lower transfusion needs and has lower morbidity as compared to gastrectomy. Traditionally, suture with or without omental patch has been considered the 'gold standard' and still is. Management of perforated peptic ulcer entails resuscitation, pharmacotherapy and surgery. According to the literature in average, 2-14% of peptic ulcers result in perforation, most 215 commonly occurring in females over the age of 60 and chronic NSAID, alcohol or tobacco users. Why Should I Register and Submit Results?ĭespite the evolution of medical management of Gastroduodenal Peptic Ulcer (GPU), complications like bleeding and perforation are still not uncommon in clinical practice.
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