Laparoscopic versus open repair of duodenal perforation: a comparative study in tertiary care hospital in Uttarakhand, India

Laparoscopic repair is indeed a very useful method of dealing with this common complication of peptic ulcer disease, which forms a large bulk of patients presenting to surgery emergency with acute abdomen. Laparoscopic approach overcomes the disadvantages of a conventional open repair which includes large upper abdominal incision, wound infection and dehiscence, prolonged ileus and pulmonary complications, delayed recovery times and late complications like incisional hernia. Laparoscopic repair confers all the advantages of minimal access surgery for this life-threatening condition and is desirable in properly selected patients. Many studies support this modality of management. 3-5