Pedicled Gallbladder Serosal Patch for Complex Duodenal Perforation: Technical Description and Clinical Outcome.

Area of Science:

• Gastroenterology
• Surgical Innovation
• Abdominal Surgery

Background:

• Perforated peptic ulcers are life-threatening surgical emergencies.
• Omental patch repair is the standard treatment for such perforations.
• Alternative repair methods are needed when standard options are not feasible.

Purpose of the Study:

• To describe the first successful application of a pedicled gallbladder flap for duodenal perforation repair.
• To present a novel surgical solution in a case with limited traditional repair options.

Main Methods:

• A pedicled gallbladder flap was utilized for duodenal perforation repair in a critically ill patient.
• The patient had undergone a subtotal colectomy for peritonitis prior to the duodenal repair.
• This approach was chosen due to absent omentum and insufficient alternative tissues.

Main Results:

• The pedicled gallbladder flap successfully sealed the duodenal perforation.
• The patient experienced a complete recovery and was discharged within a month.
• The patient tolerated an oral diet and was free of surgical drains post-procedure.

Conclusions:

• A pedicled gallbladder flap is a viable alternative for repairing duodenal perforations when conventional methods are contraindicated.
• This technique shows promise, supported by prior animal studies.
• Further research is recommended to validate this surgical approach.