Management of Perforated Peptic Ulcer: A Review of Operative and Non-operative Approaches | Chapter 6 | Medical Science: Updates and Prospects Vol. 2

 

Perforated peptic ulcer represents the second most prevalent complication associated with peptic ulcer disease, and its management is categorised into surgical and non-surgical approaches. Surgical intervention encompasses the closure of the ulcer utilising an omental patch, which can be executed through either open or laparoscopic techniques. In cases of larger ulcers, surgical resection in the form of partial gastrectomy is performed. Non-surgical treatment modalities include the administration of intravenous antibiotics, endoscopy, and stent placement, primarily reserved for patients deemed unsuitable for surgical intervention. Eradication of Helicobacter pylori is another area where intervention may enhance clinical outcomes and reduce the risk of ulcer recurrence. It is imperative that the surgical treatment of a perforated peptic ulcer is not delayed, as postponement can lead to increased mortality. This review aims to examine the role of laparoscopic surgery in the management of perforated peptic ulcers. Additionally, it will explore the significance of non-operative treatment and the eradication of Helicobacter pylori in the management of perforated peptic ulcers.

 

 

Author(s) Details

Kumar H.R.
Taylor University School of Medicine and Health Science, 47500 Subang Jaya, Malaysia.

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v2/6716

Findings of Hernia Repair Procedure in Iraqi Children: A Cross-Sectional Study | Chapter 9 | Recent Updates in Disease and Health Research Vol. 6

 

Background: Inguinal herniorrhaphy with pediatric surgeons has been performed with more variability, according to prior investigations and their experience. One of the most prevalent conditions in children and young adults is an inguinal hernia. For full-term and preterm newborns, the estimated prevalence rates of inguinal hernia are 1-5% and 9-11%, correspondingly.

Aim: This paper aims to analyze a cross-sectional study to detect the findings of hernia repair procedures in Iraqi children.

Patients and Methods: This paper was conducted in different hospitals in Iraq from 15th September 2021 to 17th December 2021 as a cross-sectional study to analyze cross-sectional study to detect the findings of hernia in Iraqi children. This study contained 54 patients, which were separated into two kinds of groups. The first group included 27 patients who had open surgery, while the second group had 27 patients who were present patients who had laparoscopic surgery. The databases collected were analyzed and plotted by the SPSS program.

Results and Discussion: In this study, we examine the results of two techniques for hernia repair in young girls and boys. The results showed that although laparoscopic surgery and open surgery had different post-operative problems, open surgery required less time to complete an inguinal hernia repair in patients than laparoscopic surgery did. The incidence of pre-operative and post-operative problems varied across the two research groups in our study. In comparison to previous studies, our study showed different results, which found the success of open surgery in comparing with laparoscopic surgery where the post-operative complications of open surgery were lower with laparoscopic surgery.

Conclusion: The findings generally demonstrated that even though the preoperative and postoperative problems of the two repair techniques were very close to one another. However, when safety for hernia repair in children under six years old was taken into consideration, herniotomy opening surgery took a little less time to perform than laparoscopic surgery.

 

Author(s) Details:-

 

Ali Abdulhussein Sabri Al Edani
MRCS Iraqi Ministry of Health, Basra Health Directorate, Basra Children Teaching Speciality Hospital, Basra, Iraq.

 

Adil Abdulmajeed Hassan
Iraqi Ministry of Health, Kirkuk Health Directorate, Maternity and Pediatric Hospital, Kirkuk, Iraq.

 

Waleed Khalid Ahmed Al-Jumaili
Iraqi Ministry of Health, Al Anbar Health Directorate, Al-Fallujah Teaching Hospital, Anbar, Iraq.

 

Please see the link here:  https://doi.org/10.9734/bpi/rudhr/v6/177