Laparoscopic Repair of Duodenal Perforation is a minimally invasive emergency surgery to seal a hole (perforation) in the duodenum—the first part of the small intestine. This type of perforation is often caused by a peptic ulcer that has eroded through the intestinal wall, allowing stomach contents to leak into the abdominal cavity, which can lead to peritonitis (a life-threatening infection). 🧬 What Is a Duodenal Perforation? A duodenal perforation is a hole in the wall of the duodenum, often due to: Peptic ulcer disease Trauma Foreign body ingestion Cancer (rare) It causes sudden, severe abdominal pain, and is a surgical emergency. ⚙️ How the Laparoscopic Surgery Works: Under general anesthesia, the surgeon makes 3–4 small incisions in the abdomen. A laparoscope (tiny camera) is inserted to visualize the perforation. The perforated area is cleaned to remove leaked gastric or intestinal contents. The hole is closed with sutures or sealed using a patch (commonly an omental patch—piece of fat from the abdomen). Abdominal cavity is washed with saline to reduce infection risk. Drains may be placed to help fluid exit the abdomen. ⏱️ Surgery Duration: Typically takes 1–2 hours Done under general anesthesia ✅ Benefits of Laparoscopic Approach: Smaller incisions = less pain Faster recovery Shorter hospital stay Lower infection risk Better visualization of the abdominal cavity in some cases.
