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Laparoscopic Cellan-Jones Repair for Perforated Peptic Ulcer
Dr. Yofran Molina
Dr. Miguel Vassallo
Dra. Maria Romero
Dra. Elena Hernandez
Dr. Alejandro Paez
Case description
This educational surgical video demonstrates the laparoscopic management of a perforated peptic ulcer using the Cellan-Jones omental patch technique. Key operative steps include identification of the perforation, intracorporeal suturing, placement of a pedicled omental patch, extensive peritoneal lavage, and final inspection of the repair.
Technical pearls, operative strategy, and critical considerations for minimally invasive emergency surgery are highlighted throughout the procedure.
Learning objectives:
- Recognition of perforated peptic ulcer during laparoscopy
- Intracorporeal closure techniques
- Omental patch reinforcement according to the Cellan-Jones method.
- Principles of peritoneal decontamination.
- Technical tips to improve operative outcomes.
