LAPAROSCOPIC TREATMENT OF PERFORATIVE GASTRODUOLENAL ULCERS IN A DISTRICT HOSPITAL

Teuvov Aslan Alekseevich, Shugushkhova Milana Ruslanovna, Bavokova Diana Aslanovna, Bitova Elina Muratovna, Kodzokov Artur Aakhmedovich

Complicated peptic ulcer of the stomach and duodenum remains one of the formidable diseases of the digestive system. This kind of patients often undergo surgical treatment according to absolute indications. Meanwhile, until now there is no single point of view on the choice of the method of surgical treatment of such patients. Aim. To optimize the primary surgical treatment of gastric and duodenal ulcers complicated by perforation. Materials and methods. The study included clinical material consisting of 60 patients with gastroduodenal ulcers complicated by perforation. Depending on the type of treatment, patients are divided into 2 groups: the first group - suturing of a perforated gastroduodenal ulcer from a mini-access; the second group – suturing – performed by laparoscopic method. The methods of examination of patients included general clinical, laboratory, X-ray, ultrasound, endoscopic, the Wong-Baker pain assessment scale and quality of life was carried out on the MOS SF-36 and Visick scale. Results. It has been established that the use of laparoscopic intervention in suturing a perforated gastroduodenal ulcer significantly affects the postoperative course of the disease, its prognosis, and the outcome of patients. The use of this method avoids a large number of conversions when attempting standard suturing of a perforated ulcer when compared with the standard method, which reduced the duration of the operation, the use of narcotic analgesics, the number of bed days, and improved the long-term results of treatment of this category of patients. Conclusion. The obtained facts allow us to revise the strategy in surgical therapy of the considered category of patients in the direction of approving the expediency of performing laparoscopic operations for perforated gastroduodenal ulcer.

Keywords:laparoscopy, treatment of peptic ulcer, perforation