eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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vol. 13
Case report

Laparoscopic repair of a perforated duodenal ulcer: another use of a round ligament flap

Kevin Allart, Flavien Prevot, Lionel Rebibo, Jean-Marc Regimbeau

Videosurgery Miniinv 2018; 13 (4): 542–545
Online publish date: 2018/05/30
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Management of a perforated duodenal ulcer is most commonly performed by laparoscopy and consists of suture of the perforation after performing lavage of the peritoneal cavity. In most cases, a flap is created, and an omental flap is usually the preferred choice because of its simplicity and its proximity to the site of duodenal perforation. However, in some cases, the greater omentum cannot be used due to the severity of peritonitis or due to previous surgical removal. We report a laparoscopic technique for surgical repair of a perforated duodenal ulcer using a round ligament flap. The present manuscript and the associated video highlight some important technical aspects to easily perform this procedure.

laparoscopy, duodenal ulcer, perforated ulcer, falciform ligament flap

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