Laparoscopic repair of perforated duodenal ulcers using collagen fleece coated with fibrin glue

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Abstract
Summary A simple, novel technique for the repair of perforated duodenal ulcers through the laparoscope has been used successfully in four patients. Following laparoscopy a patch of collagen fleece coated with fibrin glue was stuck over the perforation and peritoneal lavage then performed. The postoperative recovery was uneventful and the patients were ready for discharge from hospital within 3 to 4 days. This method of laparoscopic repair of perforated duodenal ulcer is effective and appears simpler than other laparoscopic techniques described.