Laparoscopic repair of perforated peptic ulcer versus openrepair

Perforated duodenal ulcer is one of the common surgical emergency and it is considered the most common cause of peritonitis. Inspite of antiulcer medication and Helicobacter eradication, Perforated peptic ulcer (PPU), is still the most common indication for emergency gastric surgery and is associated with high morbidity and mortality. Perforations of the peptic ulcers (PPUs) are the most common cause of emergency surgery among the complications of the gastroduodenal ulcers and the leading cause for morbidity and mortality due to secondary peritonitis and sepsis. PPU is a condition in which laparoscopic perforation repair (LPR) is an optimal solution. It makes possible the identification of the perforation's site and allows closure of the perforation and the subsequent peritoneal lavage, as in an open repair (OR) but without the large uppermid-abdominal incision. The outcome might be improved by performing this procedure laparoscopicallywithomental patch repair of perforated peptic ulcer carries lessmorbidity and mortality and early return of patients to their normal daily routine.