Health Condition 1: K275- Chronic or unspecified peptic ulcer, site unspecified, with perforation Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.clinical and radiological evidence suggestive of perforated peptic ulcer with peritonitis. 2.Presentation within 72 hours of onset. 3.Hemodynamically stable patients fit for general anaesthesia.
Exclusion criteria
Exclusion criteria: 1.Patients of Perforated Peptic Ulcer Disease presenting after 72 hours of onset of symptoms. 2.Hemodynamically unstable patients 3.Previous upper abdominal surgeries 4.Suspected malignancy/perforation due to malignancy 5.Severe cardiopulmonary co-morbidities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare operative time between the patient underwent laparoscopic versus open repair in patients with peptic perforation peritonitis.Timepoint: Intra-operative (measured during surgery on Day 0). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 Post operative pain score (VAS scale) 2 Incidence of post operative complications (wound infection, respiratory complications, intra abdominal abcess). 3 Length of hospital stay (days). 4 Mortality & morbidity rates (%). 5 Change in laboratory parameters from baseline Timepoint: 1 Post operative 24 hours (Day 1), 48 hours (Day 2), 72 hours (Day 3), & at 2 weeks follow up. 2 During hospital stay & at 2 weeks (Day 14), 6 weeks, & 12 weeks post surgery. 3 Assessed from day of admission to day of discharge (index hospitalization). 4 During hospital stay & within 30 days post surgery. 5 Pre operative (baseline, before surgery) post operative Day 3 | — |
Countries
India
Contacts
Department of surgery, Jawaharlal Nehru Medical College And Hospital, Aligarh Muslim University, Aligarh