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PN Sreeramulu et al

                     Table 3: Postoperative complications     14. Tokunaga Y, Hata K, Ryo J, Kitaoka A, Tokuka A, Ohsumi K.
                                                                  Density of helicobacter pylori infection in patients with peptic
             Post op. complications  Open  Laparoscopic group     ulcer perforation. J Am Coll Surg 1998;186:659-63.
             Wound infection     3 (9%)        1 (3%)         15. Jordan PH Jr, Thornby J. Perforated pyloroduodenal ulcers:
             Wound dehiscence    1 (3%)          0                Long-term results with omental patch closure and parietal cell
             Mortality           2 (6%)          0                vagotomy. Ann Surg 1995;221:479-88.
                                                              16. Wissing J, van Vroonhoven TJMV, Schattenkerk ME, Veen HF,
                                                                  Ponsen RJG, Jeekel J. Fascia closure after midline laparotomy:
          on outcome. It had less postoperative pain, reduced chest  Results of a randomized trial. Br J Surg 1987;74:738-41.
          complications and reduced analgesic usage, shorter  17. Lau JYW, Lo S, Ng EKW, Lee DWH, Lam Y, Chung SCS.
          postoperative hospital stay, and earlier return to normal daily  A randomized comparison of acute phase response and
          activities than the conventional open repair. It has lesser  endotoxemia in patients with perforated peptic ulcers receiving
                                                                  laparoscopic or open patch repair. Am J Surg 1998;175:325-27.
          morbidity and mortality as compared to open group. Data  18. Boey J, Wong J, Ong GB. A prospective study of operative
          from the present study indicate that laparoscopic surgical  risk factors in perforated duodenal ulcers. Ann Surg 1982;195:
          treatment of patients with peptic ulcer perforation can be  265-69.
          implemented and completed safely in a large proportion of  19. Blomberg LGM. Perforated peptic ulcer long-term results of
                                                                  simple closure in early world: Surg 1997;21:412-15.
          patients with this life-threatening condition, given that the  20. Schein M. Laparoscopic repair of perforated peptic ulcer. Br J
          responsible surgical team has the appropriate technical  Surg 1993;80:127.
          expertize. We need to do study with more number of cases  21. Kum CK, Isaac JR, Tekant Y, et al. Laparoscopic repair of
          as to claim advantage of laparoscopic surgery.          perforated peptic ulcer. Br J Surg 1993;80:523.
                                                              22. Lau WY. Perforated peptic ulcer open versus laparoscopic repair.
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                                                              23. Siu WT, Leong KL, Lai BP, et al. Laparoscopic repair for
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            6. Matsuda M, Nishiyama M, Hanai T, Saeki S, Watanabe T.  ABOUT THE AUTHORS
              Laparoscopic omental patch repair for perforated peptic ulcer.  PN Sreeramulu (Corresponding Author)
              Ann Surg 1995;221:236-40.
            7. Sø JBY, Kum CK, Fernandes ML, Goh P. Comparison between  Professor, Department of Surgery, Sri Devaraj Urs Medical College
              laparoscopic and conventional omental patch repair for  and RL Jalappa Hospital and Research Centre, Tamaka, Kolar
              perforated duodenal ulcer. Surg Endosc 1996;10:1060-63.  Karnataka, India, e-mail: drsreeramulupn@yahoo.in
            8. Johansson B, Hallerba¨ck B, Glise H, Johnsson E. Laparoscopic
              suture closure of perforated peptic ulcer. Surg Endosc 1996;10:  TS Venkatachalapathy
              656-58.                                         Assistant Professor, Department of Surgery, Sri Devaraj Urs Medical
            9. Miserez M, Eypasch E, Spangenberger W, Lefering R, Troidl H.  College and RL Jalappa Hospital and Research Centre, Kolar
              Laparoscopic and conventional closure of perforated peptic  Karnataka, India
              ulcer. Surg Endosc 1996;10:831-36.
           10. Druart ML, Van Hee R, Etienne J, et al. Laparoscopic repair of  CS Supreet
              perforated duodenal ulcer. Surg Endosc 1997;11:1017-20.
           11. Siu WT, Leong HT, Li MKW. Single stitch laparoscopic omental  Postgraduate Student, Department of Surgery, Sri Devaraj Urs Medical
              patch repair of perforated peptic ulcer. JR Coll Surg Edinb 1997;  College and RL Jalappa Hospital and Research Centre, Kolar
              42:92-94.                                       Karnataka, India
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              An alternative therapeutic plan. Arch Surg 1998;133:1166-71.
           13. Sebastian M, Prem Chandran VP, Elashaal YIM, Sim AJW.  Associate Professor, Department of Pathology, Sri Devaraj Urs
              Helicobacter pylori infection in perforated peptic ulcer disease.  Medical College and RL Jalappa Hospital and Research Centre, Kolar
              Br J Surg 1995;82:360-62.                       Karnataka, India

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