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Surgical Endoscopy

, Volume 4, Issue 4, pp 232–233 | Cite as

Laparoscopic repair/peritoneal toilet of perforated duodenal ulcer

  • Leslie K. Nathanson
  • David W. Easter
  • Alfred Cuschieri
Case Reports

Summary

Laparoscopic techniques have been refined to the point where exposure, haemostasis and tissue approximation by suture approach those obtained at open access surgery. We report a patient with acute perforation of an ulcer in the first part of the duodenum who was successfully treated by laparoscopic oversewing and omental patching. The clinical indications for contemplating use of laparoscopic surgery for acute ulcer perforation, techniques employed and the areas for potential improvement of instruments, needles and sutures are discussed.

Key words

Laparoscopy Perforated duodenal ulcer Suture techniques 

References

  1. 1.
    Semm K (1983) Endoscopic appendectomy. Endoscopy 15: 59–64Google Scholar
  2. 2.
    Semm K (1987) Operative manual for endoscopic abdominal surgery. Year Book Medical Publishers, Chicago London, pp 95–102Google Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • Leslie K. Nathanson
    • 1
  • David W. Easter
    • 1
  • Alfred Cuschieri
    • 1
  1. 1.Department of Surgery, Ninewells Hospital and Medical SchoolUniversity of DundeeDundeeUK

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