An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

https://doi.org/10.4081/joper.2018.73

Authors

  • Federico Coccolini | federico.coccolini@gmail.com General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.
  • Stefano Raimondo General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.
  • Giulia Montori General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.
  • Fausto Catena Emergency and Trauma Surgery Department, Maggiore Hospital, Parma, Italy.
  • Massimo Sartelli General Surgery Department, Macerata Hospital, Macerata, Italy.
  • Fabrizio Palamara General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.
  • Matteo Tomasoni General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.
  • Paola Fugazzola General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.
  • Marco Ceresoli General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.
  • Luca Ansaloni General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena (FC), Italy.

Abstract

The treatment of duodenal perforations has scarce options and it is very difficult with an high failure rate. The aim of this work is to describe a new surgical technique that was used to treat ten patients suffering from duodenal perforation. The procedure based on the concept to enforce the duodenal suture with remodeling material allowing to the inflamed and oedematous tissues to heal without to be cut by the repairing stitches themselves, is performed with biological prosthesis patches. 90% of patients treated with this innovative technique experienced a complete healing of the duodenal perforation. This unique surgical technique not only proved to be safe, but it also solved the 90% of duodenal perforations in patients at risk to die.

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Published
2018-04-13
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Section
Original Articles
Keywords:
Duodenal perforation, treatment, biological prosthesis, surgical technique, patch
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How to Cite
1.
Coccolini F, Raimondo S, Montori G, Catena F, Sartelli M, Palamara F, Tomasoni M, Fugazzola P, Ceresoli M, Ansaloni L. An innovative duodenal perforation surgical repair technique: the BIOPATCH technique. J Peritoneum [Internet]. 2018Apr.13 [cited 2020Aug.9];3(1). Available from: http://jperitoneum.org/index.php/joper/article/view/73

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