Is history of ulcer an adverse factor for laparoscopic repair of peptic ulcer perforation?

[...]the conversion rate tended to be higher in Group 1 (18.4 vs 11.0%). Because the mean perforation size in Groups 1 and 2 was not statistically different, the most likely reason for the higher conversion rate in Group 1 was the relatively unhealthy tissue around the perforated ulcer causing poor...

Full description

Saved in:
Bibliographic Details
Published in:The American surgeon 2015-02, Vol.81 (2), p.E84-86
Main Authors: Lo, Hung-Chieh, Su, Li-Ting, Cheng, Han-Tsung, Wang, Yu-Chun, Hsieh, Chi-Hsun
Format: Article
Language:English
Subjects:
Aged
China - epidemiology
Comorbidity
Female
Heart attacks
Humans
Infections
Laparoscopy
Male
Middle Aged
Mortality
Peptic Ulcer Perforation - pathology
Peptic Ulcer Perforation - surgery
Postoperative Complications - epidemiology
Severity of Illness Index
Surgery
Surgical outcomes
Ulcers
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:[...]the conversion rate tended to be higher in Group 1 (18.4 vs 11.0%). Because the mean perforation size in Groups 1 and 2 was not statistically different, the most likely reason for the higher conversion rate in Group 1 was the relatively unhealthy tissue around the perforated ulcer causing poor tissue healing after repair. A limitation of this study is potential decisionmaking bias during surgery as surgeons might choose to convert "difficult" ulcers. Because there are no universally accepted indications for conversion, the "decision-to-convert" bias may be present in both groups.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481508100217