Laparoscopic Repair of Perforated Gastric Ulcer by Forming a “Covered Perforation”

Performing video endoscopic operations on patients with emergency surgical pathology in order to increase the efficiency and reduce the duration of surgical intervention, as well as to prevent postoperative complications, stimulates the continuous development and implementation of new minimally invasive technologies in emergency surgery. The aim of the study was to develop a new method for laparoscopic suturing of a perforated gastric ulcer (PGU) with the formation of a “covered perforation.” The proposed method uses a fold-duplicator from the anterior wall of the stomach to close the perforation of the stomach wall, thus expanding the possibilities of using minimally invasive technologies for PGU.