LAPAROSCOPIC VERSUS OPEN APPROACH FOR REPAIR OF PERFORATED PEPTIC ULCER: A PROSPECTIVE STUDY

Abstract

Introduction: PUD is prevalent, with a lifetime prevalence of 5-10% and an annual incidence of 0.1-0.3%. The yearly incidence of perforation varies from 0.004 to 0.014%. It remains the second most common cause of gastrointestinal perforation, necessitating urgent surgery, and the leading cause for gastric emergency surgery. The risk factors for PPU include NSAIDs, H. pylori, physiological stress, smoking, corticosteroids, and a history of PUD. The decrease in complications related to peptic ulcer disease may be linked to the global prevalence of antisecretory medications and a more judicious application of NSAIDs compared to previous practices. Peptic ulcer perforation usually manifests with an abrupt onset of severe pain in the epigastrium. Depending on the age of the patient and comorbid factors, fatalities can be as high as 20%.PPU is predominantly surgical, with various suture techniques outlined for the closure of the perforation. Laparoscopic omental patch repair (LOPR) for PPU was accomplished thirty years ago. early prospective studies effectively established the safety and feasibility of laparoscopic repair.