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    Tamer Alsaied Alnaimy , Tamer Rushdy Elalfy and Mohammed A.Elkilany
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    • A Comparison of Laparoscopic and Open Repair of Perforated Duodenal Ulcer Using Omental Patch: A Prospective Randomized Controlled Trial

    Tamer Alsaied Alnaimy , Tamer Rushdy Elalfy and Mohammed A.Elkilany
    Department of general surgery, faculty of medicine, Zagazig University, Egypt

    Background: Perforation of duodenal ulcers occurs in nearly 20% of cases of duodenal ulcer patients. Repair of perforated duodenal ulcer disease can be done either by open or laparoscopic approach. Laparoscopic approach has become recently a widespread procedure. Aim of this study: comparison between open and laparoscopic repair in case of perforated duodenal ulcer as regards intraoperative approach and postoperative recovery and complications. Methods: This comparative study included 64 patients who presented to the Emergency unit of Zagazig University hospital with perforated duodenal ulcer during the period from September 2013 to October 2015.These patients were divided randomly into two groups: Open group: 32 patients and laparoscopic group:32 patients. Results: the laparoscopic approach is a feasible, safe option and associated with less pain and shorter length of hospital stay for PDU patients with small perforation size and early diagnosis within 48 hours of the onset of symptomps. Conclusion: Laparoscopic repair of perforated duodenal ulcers is better than open repair. Key words: Perforated duodenal ulcer, Laparoscopy, peritonitis, omental patch. 

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