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2016, Number 3

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Revista Cubana de Cirugía 2016; 55 (3)

Epiploplasty and suture efficiency using further medical treatment in perforated ulcer

Flores ME, Sánchez BJA, Flores DEA

Language: Spanish
References: 33
Page: 201-210
PDF size: 116.33 Kb.


ABSTRACT

Introduction: suture and epiploplasty of perforated ulcer using further medical treatment for Helicobacter pylori eradication has decreased recurrence of peptic ulcer, renewing interest in this proceeding in contrast to final techniques.
Objective: determine the medium term efficacy of this procedure in patients undergoing surgery for perforated peptic ulcer.
Methods: an observational study was conducted at "Manuel Ascunce Domenech" University Hospital in Camagüey, from January 2010 to December 2013. The study consisted of patients operated on for perforated ulcer over a year (45 cases). The obtained data were processed using SPSS for Windows version 15.0, with statistical technique of comparing the proportions hypothesis test on a Pentium IV computer.
Results: the most affected patients were male aging forty and fifty. The most frequent location was duodenal perforation and most of them less than 1 cm. The most frequent postoperative complications were respiratory infections. Smoking habits and coffee intake were the most common risk factors. Most patients received full medical treatment in the postoperative period, with good results according to Visick classification and the endoscopy, where only one patient had ulcer disease.
Conclusions: suture and perforated ulcer epiploplasty with subsequent full medical treatment, definitively, cure patients.


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