ABSTRACT
Background: The introduction of computer chip television was a seminal event in the field of laparoscopy. Before its conception, laparoscopy was used as a means of diagnosis and performance of simple procedures in gynecology. The introduction in 1990 of laparoscopic chip applier with 20 automatically advancing clips made surgeons more comfortable with laparoscopic surgeries. Aims and Objectives: This study aims to study the efficacy, advantages, disadvantages, limitations, post-operative pain, and complications leading to morbidity and mortality, duration of hospital stay, recurrence, and return to normalcy between open and laparoscopic procedures and to arrive at a conclusion as to the best modality of treatment between the two. Methodology: Patients who in the course of surgery were converted to open surgery, patients in whom surgery could not be completed due to any reason. The data were collected in a prepared pro forma. Results: In our study, the post-operative complications, i.e., SSI, wound dehiscence, and intra-abdominal collection were 10% each in the laparotomy and perforation closure with no post-operative complications in the laparoscopic perforation group closure. Conclusion: Advanced laparoscopic procedures have better result and outcomes compared to open procedures, but the cost factor should be kept in mind as it is still an important factor in a developing country like ours.
KEYWORDS:Duodenal ulcer perforation, Laparoscopic procedures, Open repair.