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Discussion

Discussion. Generally, laparoscopic repair of perforated peptic ulcer results to: Lower post operative analgesic use, Lower wound infection and mortality, Fewer incisional hernias but L onger operating time and higher reoperation rate. Discussion.

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Discussion

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  1. Discussion • Generally, laparoscopic repair of perforated peptic ulcer results to: • Lower post operative analgesic use, • Lower wound infection and mortality, • Fewer incisionalhernias but • Longer operating time and higher reoperation rate.

  2. Discussion • The U-Clip® device avoids the need to perform intracorporeal knots usually necessary for traditional laparoscopic repair and make the procedure faster and easier.

  3. Conclusion • The study concluded that the U-clip avoids intracorporeal knots, simplifying the laparoscopic procedure without adding significant cost. • Further RCT trial should be done to determine whether U-clip compares favorably with the classical intracorporeal knotting technique in the more traditional laparoscopic surgery of perforated peptic ulcer.

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