Fast-track Surgery for Perforated Peptic Ulcers

Inclusion Criteria: * Perforated peptic ulcer located in the stomach or the duodenum Exclusion Criteria: * The patients who refuse to join the study or to sign the informed consent form * The patients who are unable to understand and sign the informed consent form * Age younger than 18 * The patients with a possibility of having trouble in communicating with or reaching the investigators during the first 6 weeks after surgery * The patients who are considered as ASA class 4 * Shock on admission * The patients who have serious negative factors for wound healing such as steroid usage, autoimmune diseases * Pregnant * Previous upper abdominal surgery * The patients who are found to have a pathology other than perforated peptic ulcer during surgical exploration * The patients who are found to have malignant ulcer during surgery or in postoperative period * Concomitant bleeding peptic ulcers * Peptic ulcer perforations with a diameter greater than 5 mm, which are not suitable for simple repair techniques * Multiple perforated peptic ulcers