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Laparoscopic Management of Perforated Ulcers

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Minimally Invasive Acute Care Surgery

Abstract

Perforation remains a potential lethal complication of peptic ulcer disease. The surgeon should have a high degree of suspicion for perforated ulcer when a patient presents with sudden onset of severe abdominal pain, nausea, vomiting, fever and peritonitis. This can rapidly progress to septic shock if the diagnosis and treatment are delayed. The goal of laparoscopic peptic ulcer repair is no different than that of the open repair, namely, source control through sealing of the perforation and peritoneal irrigation. This chapter describes laparoscopic repair of perforated ulcer including primary repair and Graham patch technique focusing on operating room set-up, instrumentation, operative steps, contraindications and post-operative care.

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Suggested Reading

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    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, McGill University Health Centre, 1650 Cedar Avenue, E19-125, Montreal, QC, Canada

    Mohammed Hassan Al Mahroos

  2. Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, Division of General Surgery, McGill University Health Centre, 1650 Cedar Avenue, L9-309, Montreal, QC, Canada

    Liane S. Feldman

Authors
  1. Mohammed Hassan Al Mahroos
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  2. Liane S. Feldman
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Corresponding author

Correspondence to Liane S. Feldman .

Editor information

Editors and Affiliations

  1. Director of Acute Care Surgery, Montreal General Hospital, Associate Director, Trauma Program Departments of Surgery and Critical Care, McGill University Health Center, Montreal, Québec, Canada

    Kosar A. Khwaja

  2. Chief Division of Acute Care Surgery, Acute Care Surgery, Fellowship, Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Maryland, USA

    Jose J. Diaz

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Al Mahroos, M.H., Feldman, L.S. (2018). Laparoscopic Management of Perforated Ulcers. In: Khwaja, K., Diaz, J. (eds) Minimally Invasive Acute Care Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-64723-4_8

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  • DOI: https://doi.org/10.1007/978-3-319-64723-4_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64721-0

  • Online ISBN: 978-3-319-64723-4

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