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Natalsky A.A.

Ryazan State Medical University

Zaytsev O.V.

Ryazan State Medical University

Peskov O.D.

Ryazan State Medical University

Kleimenov O.V.

Ryazan State Medical University

Laparoscopic repair for perforated ulcer

Authors:

Natalsky A.A., Zaytsev O.V., Peskov O.D., Kleimenov O.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(8): 21‑25

DOI: 10.17116/hirurgia202408121

Views: 692

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Table of contents

To cite this article:

Natalsky AA, Zaytsev OV, Peskov OD, Kleimenov OV. Laparoscopic repair for perforated ulcer. Pirogov Russian Journal of Surgery. 2024;(8):21‑25. (In Russ.)
https://doi.org/10.17116/hirurgia202408121

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Recommended articles:
Improvement of Russian clinical guidelines and redu­ction of mortality in perforated ulcers. Piro­gov Russian Journal of Surgery. 2024;(2):5-13

OBJECTIVE

To improve the immediate postoperative results in patients with perforated ulcers.

MATERIAL AND METHODS

The study enrolled 25 patients with perforated peptic ulcer (diameter of perforation <8 mm). Mean age of patients was 39 years (range 24—56), perforation size — 5.92 mm (range 3—8).

RESULTS

Mean surgery time was 59.8 min (range 50—85). There were no intraoperative and postoperative complications. All patients were discharged.

CONCLUSION

The proposed method of repair for perforated gastric ulcers is simple, effective, safe and may be recommended for clinical practice.

Keywords:

perforated ulcer
suturing of ulcer
perforated ulcer
peptic ulcer surgery

Authors:

Natalsky A.A.

Ryazan State Medical University

Zaytsev O.V.

Ryazan State Medical University

Peskov O.D.

Ryazan State Medical University

Kleimenov O.V.

Ryazan State Medical University

Received:

17.12.2023

Accepted:

11.01.2024

List of references:

  1. Revishvili ASh, Tin VE, Kuznetsov AV, Shelina NV, Ovechkin AI. Surgical care in the Russian Federation. Information and analytical collection for 2021. M. 2022. (In Russ.).
  2. Buck DL, Vester-Andersen M, Møller MH; Danish Clinical Register of Emergency Surgery. Surgical delay is a critical determinant of survival in perforated peptic ulcer. British Journal of Surgery. 2013;100(8):1045-1049. https://doi.org/10.1002/bjs.9175
  3. Tarasenko SV, Natalsky AA, Panin SI, Sazhin IV, Yudin VA, Sazhin VP, Peskov OD, Bogomolov AYu. Modern aspects of complex treatment of perforated gastric and duodenal ulcers. Pirogov Russian Journal of Surgery. 2021;(1):42-46. (In Russ.). https://doi.org/10.17116/hirurgia202101142
  4. Patent RUS №2805487. Bull. №6. Natalsky AA, Filimonov VB, Leonchenko SV, Kleimenov OV, Ivanov VV. Videolaparoscopic method for suturing a perforated gastric ulcer. (In Russ.) https://patents.google.com/patent/RU2805487C1/ru
  5. Mouret P, François Y, Vignal J, Barth X, Lombard-Platet R. Laparoscopic treatment of perforated peptic ulcer. British Journal of Surgery. 1990;77(9):1006. https://doi.org/10.1002/bjs.1800770916
  6. Nathanson LK, Easter DW, Cuschieri A. Laparoscopic repair/peritoneal toilet of perforated duodenal ulcer. Surgical Endoscopy. 1990;4(4):232-233.  https://doi.org/10.1007/BF00316801
  7. Tarasconi A, Coccolini F, Biffl WL, Tomasoni M, Ansaloni L, Picetti E, Molfino S, Shelat V, Cimbanassi S, Weber DG, Abu-Zidan FM, Campanile FC, Di Saverio S, Baiocchi GL, Casella C, Kelly MD, Kirkpatrick AW, Leppaniemi A, Moore EE, Peitzman A, Fraga GP, Ceresoli M, Maier RV, Wani I, Pattonieri V, Perrone G, Velmahos G, Sugrue M, Sartelli M, Kluger Y, Catena F. Perforated and bleeding peptic ulcer: WSES guidelines. World Journal of Emergency Surgery. 2020;15:3.  https://doi.org/10.1186/s13017-019-0283-9
  8. Sazhin AV, Ivakhov GB, Stradymov EA, Petukhov VA, Titkova SM. Comparative assessment of the results of laparoscopic and open suturing of perforated gastroduodenal ulcers complicated by widespread peritonitis. Pirogov Russian Journal of Surgery. 2020;(3):13-21. (In Russ.). https://doi.org/10.17116/hirurgia202003113
  9. Tarasenko SV, Bogomolov AYu, Zaitsev OV, Peskov OD, Natalsky AA, Sokolova SN, Donyukova SP, Rakhmaev TS, Bakonina IV, Kadykova OA. Eras is a modern concept for the management of surgical patients. Own experience. Science of the young — Eruditio Juvenium. 2016;3:67-71. (In Russ.).

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