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Table 3 Surgical findings and interventions

From: Intraperitoneal lactate/pyruvate ratio and the level of glucose and glycerol concentration differ between patients surgically treated for upper and lower perforations of the gastrointestinal tract: a pilot study

 

Cause of perforation

Exploration method

Surgical intervention

Type of closing

Duration of surgery

Irrigation

Drainage

Upper perforation

 Patient 1

Ulcer, prepyloric

Diag. lap. converted to expl. lap.

Suture of ulcer

PDS + staples

1 h 20 min

Yes

 Patient 2

Ulcer, duodenal bulb

Diag. lap.

Suture of ulcer

Vicryl

1 h 10 min

Yes

 Patient 3

Ulcer, duodenum

Expl. lap.

Billroth II resection

PDS

1 h 51 min

Yes

Yes

 Patient 4

Ulcer, prepyloric

Diag. lap. converted to expl. lap.

Suture of ulcer

PDS

1 h 20 min

Yes

 Patient 5

Ulcer, prepyloric

Expl. lap.

Suture of ulcer

PDS

45 min

Yes

 Patient 6

Ulcer, prepyloric

Expl. lap.

Suture of ulcer

PDS

1 h 3 min

Yes

 Patient 7

Ulcer, duodenal bulb

Expl. lap.

Suture of ulcer

PDS

n/a

Yes

Lower perforation

 Patient 8

Rectum perforation do to coprostasis

Expl. lap.

Hartmann’s procedure

PDS + staples

2 h 56 min

Yes

 Patient 9

Perforated c. recti

Expl. lap.

Hartmann’s procedure

PDS

2 h 40 min

Yes

 Patient 10

Perforated diverticulitis

Expl. lap

Hartmann’s procedure

PDS

n/a

Yes

 Patient 11

Perforated c. recti

Expl. lap.

Hartmann’s procedure

VAC

2 h 40 min

Yes

 Patient 12

Rectal stump blow out

Expl. lap.

 

PDS

n/a

Yes

 Patient 13

Perforated diverticulitis

Expl. lap.

Hartmann’s procedure

PDS

n/a

Yes

 Patient 14

Perforated coecum do to ischemia

Exp.lap.

Right sided hemicolectomy withileostomy

VAC

2 h 5 min

Yes

 Patient 15

Perforated diverticulitis

Exp. Lap.

Hartmann’s procedure

PDS

3 h 9 min

Yes

  1. Diag. lap. diagnostic laparoscopy, Expl. lap. explorative laparotomy, PDS polydioxanone, VAC vacuum assisted closure