Conservative Management for Perforated Duodenal Ulcer

Perforated duodenal ulcer: which operation?

Between January 1968 and December 1977 a total of 230 patients with a perforated duodenal ulcer underwent emergency operation in the Royal Victoria Hospital. Simple suture closure of the perforation was carried out in 205, and in the remaining 25 a definitive ulcer procedure was performed in addition. Four patients died following operation, a mortality rate of 1.7%.During a mean follow-up perio...

Indomethacin and perforated duodenal ulcer.

of a preceding pregnancy had any effect on the outcome of the subsequent pregnancy. A first, second, or third pregnancy was taken as the index pregnancy and the outcome of the subsequent pregnancy examined. The distribution of social classes in the sample was: class I, 12 %; class II, 16 %; class III, 48 %; class IV, 13 %; class V, 4 %; and 7% of patients were of unknown social class. The table...

[Laparoscopic repair for perforated duodenal ulcer].

Highly Selective Vagotomy in the Management of Perforated Duodenal Ulcer

In the emergency treatment of a perforated duodenal ulcer (DU), after surgical closure of the perforation and treatment of the secondary peritonitis, higly selective vagotomy(HSV) is a valid therapy to prevent recurrence of the underlying disease.

Perforated duodenal ulcer after perioperative steroid treatment.

A fit 23-year-old housewife with primary infertility was first treated in 1978 by the operation of bilateral salpingostomy to correct hydrosalpinges. Having failed to conceive within two years, she was referred to a second hospital where in June 1980 laparoscopy showed a right hydrosalpinx with gross fimbriovarian adhesions. The left Fallopian tube appeared patent, but there was kinking at the ...