Laparoscopic Repair of Duodenal Ulcer Perforation: Best Gastrointestinal Surgeon in Thane, Mumbai
As a Gastrointestinal Surgeon, I frequently treat duodenal ulcer perforations—an emergency condition that, if not managed swiftly, can result in life-threatening complications. Laparoscopic surgery offers a safer, faster-recovery alternative to open procedures.
Causes Of Duodenal Ulcer Perforation
- Helicobacter pylori (H. pylori) infection damages the duodenal lining
- Chronic NSAID use (e.g., ibuprofen, aspirin)
- Smoking and alcohol intake weaken the mucosal barrier
- Uncontrolled acid secretion (e.g., from stress or gastrinomas)
What is Perforation?
A perforated duodenal ulcer means the ulcer has eroded completely through the duodenal wall, allowing intestinal contents to leak into the abdominal cavity. This leads to:
- Chemical peritonitis
- Bacterial contamination
- Rapid systemic infection (sepsis)
Symptoms Of Perforation
- Sudden, sharp upper abdominal pain (often radiating to the back)
- Rigid abdomen with guarding
- Nausea, vomiting, and inability to pass gas or stool
- Fever and rapid heartbeat (signs of infection)
Surgical Treatment Via Laparoscopy
Laparoscopic repair is the gold standard for stable patients. Through small incisions, the perforation is closed using an omental patch, and the abdominal cavity is thoroughly cleaned. This approach is associated with:
- Minimal tissue trauma
- Faster recovery
- Reduced hospital stay
- Lower risk of post-operative complications
Types Of Laparoscopic Surgery
- Graham Patch Repair: covering the perforation with a flap of omentum
- Thorough Peritoneal Lavage: flushing out contamination
- Drain Placement: in cases with significant contamination or infection
Post-Operative Care
- Intravenous antibiotics and acid suppression
- Gradual reintroduction of oral intake
- Monitoring for leaks or infection
- Eradication of H. pylori if present
- Lifestyle and dietary modifications to prevent recurrence
When To Seek Medical Help
- Sudden, severe abdominal pain
- Fever with abdominal tightness or bloating
- History of ulcer with worsening symptoms
- Vomiting blood or black stools
Consult Dr. Sachin Wani
If you're experiencing symptoms of duodenal ulcer perforation, consult Dr. Sachin Wani, a Gastrointestinal Surgeon in Thane at Healwell Speciality Clinic, for expert laparoscopic care and timely intervention.
