Mini-laparotomy Exploration in Peptic Ulcer Perforation

ประดิษฐ ธนาเดชากุล; Pradit Tanadachakul;
Date: 2551
Abstract
This retrospective descriptive study was designed to determine the clinical outcomes of mini-laparotomy exploration (MLE), with simple closure of a perforated ulcer in patients treated at Chaibadan Hospital. Of the 70 ulcer patients, 62 (M:F 8:1; aged 51.2 ± 15.6 years and 12.8% over 60) underwent the MLE procedure in the period between October 1, 2001 and September 30, 2007. The ulcer types were type I (prepyloric part of stomach and first part of duodenum) 78.4 percent, and type I (antrum) 14.5 percent. The average operative time was 32.8 ± 12.7 minutes. Operative complications were encountered in 30 percent of the patients, i.e., 12 patients with an infected wound, and four patients had postoperative fever; however, there was no death. Postoperative medication included anti-H. pylori and proton pump in all patients. The benefits of the surgical procedure studied were small abdominal wound and scar with less pain, decreased severe complications with early ambulation and no mortality.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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