caa a22 4500 606248722 CHVBK 20210128101352.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1105-7 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1105-7 A Technique for Localizing Perforated Duodenal Ulcer During Laparoscopic Repair [Elektronische Daten] [Sujith Philip, Deepak Varma] Laparoscopic repair of duodenal ulcer perforation has certain advantages over open repair. However, the conversion rate to open surgery is still high. The most common reason for conversion is inadequate localization of the ulcer perforation site during laparoscopy. Here, a technique is described which will aid in localizing the perforation, make suturing and repair easier, and helps in checking the integrity of the repair at the end of the procedure. This is done by compressing the gall bladder with an instrument like a laparoscopic fan retractor and simultaneously depressing the first part of the duodenum with another instrument. This results in bile flowing out through the perforation and simultaneously depressing the duodenum downward, making it more easily visible and making identification easier. Suturing is easier due to the liver also getting retracted simultaneously and more space being available consequently. Integrity of the anastomoses is also easily ascertained by this maneuver. Association of Surgeons of India, 2014 Laparoscopy nationallicence Duodenal ulcer nationallicence Repair nationallicence Localization nationallicence Philip Sujith Department of Gastrointestinal Surgery and Liver Transplantation, Medical Trust Hospital, M.G. Road, 682016, Kochi, Kerala, India aut Varma Deepak Department of Gastrointestinal Surgery and Liver Transplantation, Medical Trust Hospital, M.G. Road, 682016, Kochi, Kerala, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 1430-1431 0972-2068 77<1430 2015 77 12262 https://doi.org/10.1007/s12262-014-1105-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1105-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Philip Sujith Department of Gastrointestinal Surgery and Liver Transplantation, Medical Trust Hospital, M.G. Road, 682016, Kochi, Kerala, India aut NATIONALLICENCE 700 1- Varma Deepak Department of Gastrointestinal Surgery and Liver Transplantation, Medical Trust Hospital, M.G. Road, 682016, Kochi, Kerala, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1430-1431 0972-2068 77<1430 2015 77 12262