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2011, Number 2

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Rev Fac Med UNAM 2011; 54 (2)

Laparoscopic treatment of perforated gastric ulcer

González CL, González AMA, Manjarrez CLA, Cruz SMA , Escandón EYM , Vázquez NJR , Mondragón MI, Campos PIT

Language: Spanish
References: 22
Page: 41-45
PDF size: 192.02 Kb.


ABSTRACT

Background: The repairment of perforated peptic ulcer can be done with a simple suture closure with omental patch (Graham) stitches. Primary closure plus Graham patch has become the preferred method of many institutions. Apparently, the laparoscopic emergency treatment is quite effective, enjoying acceptable rates of morbidity and mortality compared with conventional surgery.
Clinical case: We report a case of male patient aged 66 who has a history of SAH and AR without treatment, is brought to the emergency service of General Hospital “Dr. Gonzalo Castańeda “ISSSTE with 12 hrs of evolution presenting epigastric pain of sudden onset of intense burning rate which subsequently generalize to the entire abdomen, reported data of systemic inflammatory response and poor general health, abdomen with peritoneal irritation and wood abdomen, leukocytosis, and subdiaphragmatic air on simple chest plate, diagnosed as perforated peptic ulcer and emergency surgery say using laparoscopic repair of perforated gastric ulcer with omental patch placement and washing of peritoneal cavity of the patient with satisfactory outcome andcompletion of he. With the advent of laparoscopic techniques, the feasibility and safety of laparoscopic closure of perforated peptic ulcers has been demonstrated in some studies published recently.
Conclusion: it is clear that the laparoscopic repair of perforated peptic ulcer can be considered as a safe and effective, particularly in patients with less than 24 hrs of evolution, and also boasts some of the already established advantages of minimally invasive techniques.


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