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Langenbeck's Archives of Surgery

Published in:

01-02-2004 | Original Article

Laparoscopic repair of perforated gastroduodenal ulcer by running suture

Authors: Jörg Köninger, Peter Böttinger, Jens Redecke, Michael Butters

Published in: Langenbeck's Archives of Surgery | Issue 1/2004

Abstract

Background and aims

Perforated gastroduodenal ulcer represents an emergency situation that requires immediate surgical intervention. Laparoscopic ulcer repair is a feasible and safe procedure, especially in cases of a short duration of ulcer perforation and good clinical condition. However, to be well accepted as a treatment modality, an endoscopic procedure should be as simple as possible. We describe a technique that does not require intra-corporal or extra-corporal knotting.

Patients and methods

Over a 4-year period, we performed 786 diagnostic laparoscopies for various, acute abdominal conditions. We identified 20 gastroduodenal perforations. All ulcers were closed with a one-row running suture (Lahodny) and controlled radiologically on the third postoperative day.

Results

Three different surgeons performed the surgeries. There were no conversions to open surgery. Median operating time was 50 min, and median hospital stay was 9 days. We observed no insufficiency, no wound infection, and no stenosis or persisting peritonitis.

Conclusion

The closure of perforated gastric ulcers with the Lahodny suture is safe and simple to perform.

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Title: Laparoscopic repair of perforated gastroduodenal ulcer by running suture
Authors: Jörg Köninger
Peter Böttinger
Jens Redecke
Michael Butters
Publication date: 01-02-2004
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 1/2004
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-003-0427-x

At a glance: The STEP trials

Springer Medicine

Laparoscopic repair of perforated gastroduodenal ulcer by running suture

Abstract

Background and aims

Patients and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background and aims

Patients and methods

Results

Conclusion

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