Justification of the choice of surgical approach in perforated peptic ulcer

Background: Peptic ulcer perforation accounts for 10-15% of all complications of peptic ulcer and is one of the main causes of high mortality.Study Purpose: Optimization of the choice of surgical intervention and improvement of the surgical outcomes in patients with perforated peptic ulcers based on the Boey prognostic score and national clinical guidelines.Study material and methods: We performed the analysis involving data of 263 patients who undergone surgery in the Botkin Memorial Hospital from 2012 to 2018 in which the perforated peptic ulcer was sutured. There were 181 men (68.8%), 82 (31.2%) women. Patients were aged 19 to 87 years. Mean age was 52.4±11.6 years. Perforated gastric ulcer occurred in 74 (28.2%) patients, and ulcer on the duodenal bulb in 189 (71.8%) patients. Group 1 included patientswho were treated over the period from 2012 to 2014 (n = 127). In this group, laparoscopic intervention was performed in 76 (59.8%) patients. Laparotomy with subsequent suturing of the perforation hole was performed in 51 (40...