Assessment of Laparoscopic Approach Efficacy in Emergency Management of Perforated Peptic Ulcers in Geriatric Populations
Keywords:
Perforated peptic ulcer, laparoscopy, geriatric, emergency surgery, outcomes, morbidityAbstract
Purpose:
This paper assesses the efficacy and outcomes of the laparoscopic approach in the emergency management of perforated peptic ulcers (PPU) in geriatric patients (≥ 65 years).
Design/methodology/approach:
A systematic review of previously published studies was performed, focusing on emergency laparoscopic repair versus open surgery in geriatric patients with PPU. Outcome measures included operative time, morbidity, mortality, length of hospital stay, and postoperative complications.
Findings:
The laparoscopic approach was associated with reduced postoperative pain, lower wound infection rates, shorter hospital stays, and comparable morbidity and mortality in selected geriatric cohorts when compared with open repair.
Practical implications:
The findings support the wider adoption of laparoscopic techniques for carefully selected elderly patients presenting with PPU, provided adequate surgical expertise and perioperative care are available.
Originality/value:
This review specifically evaluates emergency laparoscopic repair of PPU in geriatric patients, a population that remains underrepresented in surgical outcomes literature.
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