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Laparoscopic Duodenal Closure

uodenal perforation is a common complication of duodenal ulcer. Perforated duodenal ulcer is mainlyLaparoscopic Duodenal Closure a disease of young men but because of increasing smoking in women and use of NSAID in all the age group, now a day it is common in all adult population. In western society today it is a problem seen mainly in elderly women due to smoking alcohol and use of NSAID. Increased incidence in elderly is possibly due to increased NSAID use. 80% of perforated duodenal ulcers are H. pylori positive.

After perforation of duodenal ulcer, only treatment is its immediate surgical repair. The traditional management of perforated duodenal ulcer was using Graham patch.

Perforated duodenal ulcer is a surgical emergency. Laparoscopic repair of duodenal perforation is a useful method for reducing hospital stay, complications and return to normal activity. With better training in minimal access surgery now available, the time has arrived for it to take its place in the surgeon’s repertoire.


  • Less tissue dissection and disruption
  • Faster recovery
  • Less pain postoperatively
  • Low intra-operatively and postoperative complications
  • Cosmetically superior

Prior to the procedure the patient has to be prepared by cleaning the abdomen.


The procedure is done under General anesthesia.

The patient is positioned suitably on the operating table. The legs are held with stirrups in a position where the knees are slightly bent and the hips flexed.

The instruments and camera are inserted in suitable positions and Television monitors are positionedLaparoscopic Duodenal Closure on either side suitably. The surgeon identifies the perforation in the duodenum. The abdomen is cleaned with a mixture of saline and antibiotics.

The perforation is then closed with an omental patch.

The postoperative stay ranges from 2 to 3 days.


Few Major Hospitals for Laparoscopic Duodenal Closure are:


Thailand, Malaysia, Singapore, Turkey and India are the most cost effective locations that offer up to almost 80% savings in comparison to the US.

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