Laparoscopic Repair of Perforated Gastric Ulcer by Forming a “Covered Perforation”

Alexei I. Khripun, Ilya V. Sazhin, Archil S. Tsulaya, Sergey N. Shurygin, Leonid V. Safonov, Alexey G. Vaganov, Sarkis A. Asratyan, Aleksandr N. Alimov

International Journal of Biomedicine. 2021;11(1):29-31.
DOI: 10.21103/Article11(1)_OA5
Originally published March 5, 2021


Performing video endoscopic operations on patients with emergency surgical pathology in order to increase the efficiency and reduce the duration of surgical intervention, as well as to prevent postoperative complications, stimulates the continuous development and implementation of new minimally invasive technologies in emergency surgery. The aim of the study was to develop a new method for laparoscopic suturing of a perforated gastric ulcer (PGU) with the formation of a “covered perforation.” The proposed method uses a fold-duplicator from the anterior wall of the stomach to close the perforation of the stomach wall, thus expanding the possibilities of using minimally invasive technologies for PGU.

laparoscopy • perforated gastric ulcer • endoscopic techniques • abdominal cavity
  1. Zatevakhina II, Kirienko AI, Sazhina AV. Emergency Abdominal Surgery: A Methodological Guide for the Practitioner. M.: LLC "Medical Information Agency"; 2018. [In Russian].
  2. Sazhin VP, Bronstein PG, Zaitsev OV, Kondrus IV, Krivtsov GA, Lobankov VM et al. National clinical guidelines "Perforated ulcer." Rostov-on-Don; 2015. [In Russian].
  3. Shabunin AV, Bedin VV, Grekov DN, Yakomaskin VN, Eminov MZ, Shikov DV. Justification of the choice of surgical approach in perforated peptic ulcer. Moscow Surgical Journal. 2020;(1):7-12. doi: 10.17238/issn2072-3180.2020.1.7-12. [Article in Russian].
  4. Schein M, Rogers P, Assalia A. “Common sense in an emergency abdominal surgery, 3rd edition. Russian Surzhinet, 2015. [In Russian].

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Received January 27, 2021.
Accepted February 15, 2021.
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