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Laparoscopic duodenal perforation repair is an effective, safe alternative than the conventional repair. Even in patients presenting after 24 hrs of symptoms, it can be done safely in hemodynamically stable patients who can tolerate pneumoperitoneum. The total operative time is less though not statistically significant. The intravenous analgesics use, early post-operative pain, time taken to return to normal diet, time to full mobilization, total inpatient hospital stay, and post-operative complications are at distinct advantage which favors a laparoscopic repair. Mortality rate however was similar in both the groups.
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