Open vs Laparoscopic Repair of Perforated Peptic Ulcer

Inclusion Criteria: * Patients older than 16 years old and younger than 70 years old. * Patients presenting with acute abdomen due to perforated peptic ulcer * Patients eligible for laparoscopic surgeries Exclusion Criteria: * Patients younger than 16 years old and older than 70 years old * Contraindications to laparoscopic surgeries as (Hemodynamic instability/shock, Acute intestinal obstruction with dilated bowel loops, Increased intracranial pressure, Relative contraindications, Cardiac failure, Pulmonary failure, Pregnancy/large pelvic masses, Soft tissue infection at port sites, Expected (extensive) adhesions from a previous abdominal surgery) * Patients who absconded or left the study or died during the period of study. * Patients with a surgical diagnosis other than perforated peptic ulcer