Laparoscopic Repair of Perforated Ulcer (Graham Patch Repair)
Emergency keyhole closure of a perforated peptic ulcer with omental patch — same outcomes as open, faster recovery.
What is Laparoscopic Repair of Perforated Ulcer (Graham Patch Repair)?
A perforated peptic ulcer is a life-threatening emergency — gastric or duodenal ulcer erosion through the bowel wall causes sudden severe abdominal pain and peritonitis. Laparoscopic Graham patch repair closes the perforation with an omental plug through 3 small keyhole incisions, with thorough peritoneal lavage.
Dr. Tagore Mohan Grandhi performs emergency laparoscopic Graham patch repair. The procedure must be performed urgently — morbidity and mortality increase significantly with every hour of delay. H.pylori eradication is commenced post-operatively to prevent recurrence.
Suitable for all patients with a perforated peptic ulcer, confirmed by free gas on chest X-ray or CT scan, requiring emergency surgical repair.
How the Procedure Works
Emergency Resuscitation
IV fluids, broad-spectrum antibiotics, NGT, urinary catheter. Free gas confirmed on chest X-ray or CT. Patient transferred urgently to theatre.
Laparoscopic Access
Three keyhole incisions. Perforation identified on the anterior duodenal or gastric wall. Degree of peritoneal contamination assessed.
Graham Patch Repair
Tongue of omentum drawn over the perforation and secured with 3–4 absorbable sutures, sealing the defect completely.
Peritoneal Lavage
Thorough lavage with 3–5 litres warm saline removing all contamination from the peritoneal cavity.
H.pylori Eradication
Triple therapy commenced post-operatively. Endoscopy at 6–8 weeks to confirm ulcer healing and H.pylori eradication.
Outcomes
Who Needs This Treatment?
- →3 small keyhole incisions versus a large midline laparotomy — significantly less pain
- →Equivalent perforation sealing with equivalent clinical outcomes to open surgery
- →Thorough peritoneal lavage under laparoscopic magnification and direct vision
- →Faster return to eating and discharge 1–2 days earlier than open surgery
Laparoscopic Graham patch repair matches open surgery in efficacy while offering dramatically less pain and faster recovery. The priority is speed — every hour of delay increases complication risk significantly.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Laparoscopic Repair of Perforated Ulcer (Graham Patch Repair) cost
The cost of Laparoscopic Graham Patch Repair in Hyderabad depends on factors such as the severity of ulcer perforation, emergency requirements, investigations, and hospital care needed.
For patients requiring repair of a perforated peptic ulcer, the approximate cost of Laparoscopic Graham Patch Repair ranges between ₹1,20,000 and ₹2,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Laparoscopic Graham Patch Repair | ₹1,20,000 – ₹2,50,000 |
The final cost may vary depending on the emergency situation, surgical findings, hospital stay, and additional treatment requirements.
Factors That Influence Laparoscopic Graham Patch Repair Cost
The overall cost may depend on:
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Severity of ulcer perforation: The size and location of the perforation and the patient's overall condition may influence treatment complexity.
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Emergency care requirements: Urgent evaluation, investigations, medications, and monitoring may affect the overall cost.
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Pre-operative assessment: Blood tests, imaging, anaesthesia evaluation, and other medical assessments may contribute to the estimate.
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Hospital stay and recovery: The duration of admission, medications, dietary progression, and follow-up care may influence the final cost.
Is Laparoscopic Graham Patch Repair Covered by Insurance?
This procedure may be covered by insurance when performed for a medically necessary emergency condition. Coverage depends on your policy and insurer approval.
Our insurance support team can assist with documentation, cashless approval, and policy-related queries.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your condition, investigation reports, and surgical requirements to plan appropriate treatment. He will explain the procedure, recovery process, and provide an estimated cost based on your individual condition.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.