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This discussion highlights the benefits of laparoscopic repair of perforated peptic ulcers, including reduced postoperative analgesic use, lower rates of wound infection and mortality, and fewer incisional hernias. However, it notes the associated longer operating time and increased reoperation rates. The U-Clip® device simplifies the procedure by eliminating the need for intracorporeal knots, making it faster and easier without significant additional cost. Further randomized controlled trials are recommended to compare U-Clip efficacy against traditional knotting techniques.
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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.
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.
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.
