Laparoscopic Vagotomy Without Drainage For Treatment Of Chronic Duooenal Ulcer

No surgical technique in the recent memory has generated as much excitement and enthusiasm among surgeons as has led laparoscopy.The philosophy of laparoscopic surgely is to achieve the same objective as classical surgelY, which has already proved itself, but with means which are less aggressive surgery, less invasive surgelY (Mouret; 1994).Peptic ulcer disease continues to be major health - care problem. An estimated 10% of the population will develop some manifestation of ulcer disease during their lifetime(Bai ley, 1991).A minimally invasive procedure which \,vould allow patients to retum home within 24 to 48 hours. resume normal activities within a few days, and which also offers effective longtenn control of their ulcer disease, might become a more attractive altemative to lifelong mesicat therapy.The concept of a minimally invasive approach to the surgical treatment of peptic ulcer disease become clinically feasible only within the last tllree to four years recognized as one of the first surgeon to describe a successful endoscopic approach to the management of peptic ulcer disease.economic burden, du.~ ~nti:•,:•!y to a long 9.-bdominal incision, in contrast to the rapid recovelY made when, for example, a cholecystectomy is perfonned laparoscopically. The different types of vagotomy are all feasible 110\’V with a varying degree of difficulty using the laparoscope.The intra operative complications of laparoscopic vagotomy are velY few and uncommon.(mouiel and katkhouda et al 1994)The postoperative course was impressive by its uncomplicated nature postoperative pall1 associated with laparoscopic surgery has peaks; the first that of the entry sites and tends to be minor, the second peak may occur as a result of the intra abdominal surgelY and is releated to the amount of tissue damage, the peak of pain may be the most severe and is often refened to the shoulder and appears to be related to the insufflation of the gas.