Minilaparotomy for perforated duodenal ulcer

Area of Science:

• Gastroenterology
• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Perforated duodenal ulcers present a significant surgical challenge.
• Conventional open surgery has associated risks and recovery times.
• Minimally invasive techniques are increasingly explored for abdominal emergencies.

Purpose of the Study:

• To evaluate the efficacy and safety of the minilaparotomy approach for perforated duodenal ulcer repair.
• To compare outcomes of minilaparotomy with conventional open surgery.

Main Methods:

• Retrospective evaluation of 37 patients undergoing minilaparotomy for perforated duodenal ulcer repair.
• Comparison with a historic control group (n=27) who had conventional open surgery.
• Analysis included operative time, analgesic use, flatus passage, hospital stay, and morbidity.

Main Results:

• Minilaparotomy achieved an 86.5% success rate with 2.7% operative mortality.
• Compared to open surgery, minilaparotomy resulted in shorter operative time, less analgesic use, earlier flatus passage, and shorter hospital stay.
• Postoperative morbidity was similar between groups; intra-abdominal fluid was a risk factor for wound extension.

Conclusions:

• Minilaparotomy is a feasible, safe, and less invasive option for perforated duodenal ulcer repair.
• It offers significant advantages over conventional open surgery.
• It represents a valuable alternative to laparoscopy in select patients.