Farhan Tahir, Abdur Rehman Alvi, Mobeen Adnan, Mussadiq Jafri, Ahsan Rehman, Amin Warraich.
Outcome of laparoscopic repair of duodenal ulcer perforation compared with open technique in District Head Quarter Teaching Hospital Gujranwala, Pakistan.
Pak J Surg Jan ;36(2):108-13.

Objective: To compare the clinical outcome of laparoscopic with open repair surgery for duodenal ulcer perforation. Study design: Retrospective non Randomized. Center: District Head Quarter Teaching Hospital Gujranwala. Material and Methods: From January 2016 to July 2019 retrospective study done 50 patients operated for duodenal ulcers perforation laparoscopically and 50 had an open repair were taken. Clinical outcome measures: Complications, operating time, hospital stay, post-op pain and wound infection. Results: Operating time is more in laparoscopic repair than open repair mean 2.5h verses 2h. and length of hospital stay were more in open repair mean 5-days as compared to the laparoscopic repair whose mean is 3.7-days. Moreover, patients with open repair had more post-operative pain as compared to laparoscopic repair. Complications and morbidity more in open group than laparoscopic group. Conclusion: Laparoscopic repair of perforated duodenal ulcer is advantageous and minimally invasive but not beneficial for patient in shock.

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