title: Sutureless onlay omental patch for the laparoscopic repair of perforated peptic ulcers.
abstract: BACKGROUND
  Because the feasibility and safety of laparoscopic approaches for the treatment of perforated peptic ulcer (PPU) have been fully recognized, laparoscopic repair of PPU (LPPU) has become a widely accepted procedure. Following closure of a PPU, the rationale to add an omental patch is based on the assumptions that a patch may decrease the possibility of leakage and make the closure more secure. However, one of the often mentioned disadvantages of LPPU is that it requires a significantly longer operating time. The purpose of the present study was to evaluate the efficacy of LPPU with a sutureless onlay omental patch.
  
  
  METHODS
  Over 60 months, 43 patients underwent LPPU with sutureless onlay omental patch, and another 64 patients underwent LPPU with sutured omental patch. Patient demographics, operation parameters, and surgical outcomes were analyzed retrospectively.
  
  
  RESULTS
  All patients in both groups survived to the end of the study. There were no leaks in either group. The operating time and length of stay in the sutureless onlay omental patch group were significantly shorter than in the sutured omental patch group.
  
  
  CONCLUSIONS
  A sutureless onlay omental patch is as safe and effective as a sutured omental patch for the laparoscopic repair of PPU.
authors.affiliation: Department of Acute Care Surgery, China Medical University Hospital, 2 Yuh-Der Road, Taichung, 404, Taiwan, traumawang@yahoo.com.tw.
authors.forename: Yu-Chun
authors.initials: YC
authors.lastname: Wang
authors.forename: Chi-Hsun
authors.initials: CH
authors.lastname: Hsieh
authors.forename: Hung-Chieh
authors.initials: HC
authors.lastname: Lo
authors.forename: Li-Ting
authors.initials: LT
authors.lastname: Su
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D061646:Operative Time; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome