Pure silk suture laparoscopic treatment of benign gastric ulcer perforation report of 27 cases.doc

 PAGE \* MERGEFORMAT 8 Pure silk suture laparoscopic treatment of benign gastric ulcer perforation report of 27 cases Of: Lu Tao, Pu Jian, Ma Yanfei, Weizhong Heng, Jian-early [Abstract] Objective laparoscopic repair of perforated gastroduodenal effect. Methods 27 cases of gastric perforation of a totally laparoscopic duodenal suture thread muscle pulp, cover fixed omentum ligation, postoperative to regulate medical treatment. Results 11 cases of gastric perforation and 16 patients with duodenal perforation were successfully operated, no perforated tear parts. The operation time 45 ~ 96min, an average of 40min, blood loss 20 ~ 35ml, an average of 20ml, No significant complications occurred. were followed up for 6 to 24 months, after 6 to 8 menstrual gastroscopy no ulcer recurrence, intestinal obstruction. Conclusions Laparoscopic treatment of gastrointestinal perforation injury, quick recovery, results were satisfactory. [Keywords:] peptic ulcer perforation, laparoscopy Clinical Surgery of gastroduodenal ulcer perforation is one of the common acute abdomen, often need emergency surgery, minimally invasive laparoscopic surgery, quick recovery, in recent years has been widely used in general surgery. Our hospital in February 2005 ~ July 2008 succeeded in totally laparoscopic treatment of gastrointestinal perforation, 27 cases were successful, satisfactory results are reported below. 1 Materials and Methods 1.1 General Information The group of 27 cases, 18 males and 9 females, aged 24 to 67 years, average 42.6 years old. Has a history of ulcer in 21 cases, 4 cases of hypertension, diabetes mellitus in 2 cases. Perforation to operation time was 1.5 ~ 20h, an average of 7.6 h, hole diameter 0.3 ~ 2.0cm, an average of 0.7cm. case selection criteria: with signs of diffuse peritonitis, subphrenic free air, vital signs were stable, can tolerate anesthesia and surgery. Supreme abdominal surgery. perforation to operation for less than 24h. benign