Perforated Peptic Ulcers: Open and Laparoscopic Repair, Our Experience

Most common indication for emergency gas¬tric surgery is perforated peptic ulcer, despite antiulcer therapy and Helicobacter eradica¬tion. This type of gastric surgery is still rep¬resenting with high rates of morbidity and mortality. Debate is still on if laparoscopic approach will reduce these rates. so far no consensus is reached on the perfect setup for operating technique.The rapid development of laparoscopic surgery, offers laparoscopic repair as an attractive option. since not only it is possible to indentify the site of perfora¬tion, but allows us closure of perforation and peritoneal lavage, with all benefits of minimally invasive surgery, laparoscopic correction of peptic ulcer perforation should be considered as a treatment of choice. We have used standardized laparoscopic technique for treatment of perforated peptic ulcers and we have evaluated treatment outcomes.