If patients are at low risk for leakage, we perform laparoscopic simple suture repair of the peptic ulcer perforation without an omental patch. We prefer laparoscopic simple suture repair of peptic ulcer perforation, without an omental patch, based on criteria that include the duration of abdominal pain, mean Mannheim Peritoneal Index (MPI), Acute Physiology and Chronic Health Evolution II score, and size of the perforation. We absolutely agree with the authors that avoiding omentoplasty might shorten the operating time, but it might be the reason for the higher incidence of leakage at the repaired ulcer side. presented results with simple suture repair of peptic ulcer perforation without using pedicled omentoplasty this significantly shortened operating time but the question remains of whether it is safe to abandon omentoplasty completely.” This point must be clarified. In the article, the authors state: “Ates et al. ![]() We were pleased to read the article entitled “Laparoscopic correction of perforated peptic ulcer: first choice? A review of literature” by Bertleff and Lange. Simple Suture With Omental Patch Average ratng: 5,0/5 7783 reviews
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