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Clinical Trial Summary

Use the falciform ligament flap for the treatment of perforated peptic ulcer


Clinical Trial Description

Peptic ulcer perforation (PUP) is one in all the foremost common critical surgical emergencies. The omentum flap is usually wont to cover a PUP. However, the omentum can not be utilized in cases of severe peritonitis or previous surgical removal. this is often the primary study conducted in Vietnam that was designed to analyse the outcomes of patients with PUPs who were treated using the ligament. In the population, the prevalence of ulcer disease supported physician diagnosis ranges from 0.12% to 1.50%, and hospitalization rates range from 0.10% to 0.19%. ulceration perforation (PUP) is one of the foremost common surgical emergencies worldwide, which is necessitate emergent surgical intervention. the death rate of PUPs is between 1.3% and 20%, and mortality thanks to a perforation of a gastric ulcer is over mortality because of a perforation of a duodenal ulcer (40% vs 10%) . Some studies have shown that having comorbidities, being over 70 years old, undergoing surgical procedure after 36 h, PUP diameter greater than 1 cm2 and postoperative com- plications are associated with mortality. The technique of using the omental patch for repair PUP is commonest now thanks to mobility and vascularity but is also using the falciform ligament in some cases due to highly vascularity. The technique of using the falciform ligament for the treatment of PUPs was reported in 1978 by Fry . The purpose of the study was to explain the technique and therefore the results of using the falciform ligament for the treat- ment of PUPs during a large volume surgical centre in Assuit university hospital found the falciform patch to be a successful technique in repair PUP and is assumed to be as effective as omental patch but more advantage because of highly vascular. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05715450
Study type Interventional
Source Assiut University
Contact Doaa Hamada Abd elbaset
Phone 01028971942
Email dhamada755@gmail.com
Status Not yet recruiting
Phase N/A
Start date May 30, 2023
Completion date November 23, 2026

See also
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Not yet recruiting NCT05767320 - Open vs Laparoscopic Repair of Perforated Peptic Ulcer N/A
Recruiting NCT05368233 - Impact of Abdominal Drains on the ERAS Pathway in Peptic Perforation N/A
Completed NCT00745667 - The LAMA Trial: Laparoscopic Correction of Perforated Peptic Ulcer Versus Open Correction N/A
Completed NCT05699616 - Management of Perforated Peptic Ulcer