Skip to main content
Log in

Laparoscopic repair of perforated duodenal ulcers: The simple “one-stitch” suture with omental patch technique

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

We present, here, the technique and results of our laparoscopic simple “one-stitch” suture with omental patch technique for treating 35 patients with perforated duodenal ulcer.

Methods

The laparoscopic treatment included peritoneal lavage, suture of the perforation without knotting, and then tying the suture over the omentum. Follow-up gastroscopy was performed after an eight-week course of medication with proton-pump inhibitors.

Results

Conversion to laparotomy was necessary for two patients, because of a large-sized perforation and the inadequate localization of the perforation site, respectively. The mean operative time was 64 minutes and the mean hospital stay was 6.8 days. Operation-related complications occurred in two patients, including one case of pneumonia and one case of gastric stasis.

Conclusions

This simple “one-stitch” suture with omental patch technique is a safe and easy procedure, and it has an acceptable morbidity rate and a low conversion rate.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Chung SC, Li AK (1997) Helicobacter pylori and peptic ulcer surgery. Br J Surg 84:1489–1490

    Article  PubMed  CAS  Google Scholar 

  2. Hopkins RJ, Girardi LS, Turney EA (1996) Relationship between Helicobacter pylori eradication and reduced duodenal and gastric ulcer recurrence: a review. Gastroenterology 110:1244–1252

    Article  PubMed  CAS  Google Scholar 

  3. Michelet I, Agresta F (2000) Perforated peptic ulcer: laparoscopic approach. Eur J Surg 166:405–408

    Article  PubMed  CAS  Google Scholar 

  4. Dubois F (2000) New surgical strategy for gastroduodenal ulcer: laparoscopic approach. World J Surg 24:270–276

    Article  PubMed  CAS  Google Scholar 

  5. Nathanson LK, Easter DW, Cushieri A (1990) Laparoscopic repair peritoneal toilet of perforated duodenal ulcer. Surg Endosc 4:232–233

    Article  PubMed  CAS  Google Scholar 

  6. Khoursheed M, Fuad M, Safar H, Dashti H, Behbehani A (2000) Laparoscopic closure of perforated duodenal ulcer. Surg Endosc 14:56–58

    Article  PubMed  CAS  Google Scholar 

  7. Agresta F, Michelet I, Coluci G, Bedin N (2000) Emergency laparoscopy: a community hospital experience. Surg Endosc 14:484–487

    Article  PubMed  CAS  Google Scholar 

  8. Lau WY, Leung KL, Kwong KH, Davey IC, Robertson C, Dawson JJ, Chung SC, Li AK (1996) A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. Ann Surg 224:131–138

    Article  PubMed  CAS  Google Scholar 

  9. Costalat G, Dravet F, Noel P, Alquier Y, Vernhet J (1991) Coelioscopic treatment of perforated gastroduodenal ulcer using the ligamentum teres hepatis. Surg Endosc 5:154–155

    Article  PubMed  CAS  Google Scholar 

  10. Pescatore P, Halkic N, Calmes JM, Blum A, Gillet M (1998) Combined laparoscopic–endoscopic method using an omental plug for therapy of gastroduodenal ulcer perforation. Gastrointest Endosc 48:411–414

    Article  PubMed  CAS  Google Scholar 

  11. Lee FY, Leung KL, Lai BS, Ng SS, Dexter S, Lau WY (2001) Predicting mortality and morbidity of patients operated on for perforated peptic ulcers. Arch Surg 136:90–94

    Article  PubMed  CAS  Google Scholar 

  12. Thompson AR, Hall TJ, Anglin BA, Scott-Conner CE (1995) Laparoscopic plication of perforated ulcer: results of a selective approach. South Med J 88:185–189

    PubMed  CAS  Google Scholar 

  13. Lunevicius R, Morkevicius M (2005) Management strategies, early results, benefits, and risk factors of laparoscopic repair of perforated peptic ulcer. World J Surg 29:1299–1310

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cho-Hyun Park.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Song, KY., Kim, TH., Kim, SN. et al. Laparoscopic repair of perforated duodenal ulcers: The simple “one-stitch” suture with omental patch technique. Surg Endosc 22, 1632–1635 (2008). https://doi.org/10.1007/s00464-007-9670-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-007-9670-5

Keywords

Navigation