title: [Current methods of surgical treatment of perforated pyloroduodenal ulcers].
abstract: Because of the unsatisfactory long-term results, closure of a perforative duodenal ulcer should be performed in exceptional cases, for strict indications. At the modern stage of the development of surgery, vagotomy with organ-preserving operation is the most substantiated method for treating a perforative pyloroduodenal ulcer. In choice of a method of vagotomy, it is expedient to form the clinical groups. Use of vagotomy at the toxic stage of peritonitis (up to 18 h from the moment of perforation) do not lead to deterioration of the immediate results of the operation and is substantiated pathogenetically. Total postoperative lethality was 4.6%. The main cause of death together with delayed performance of the operation was a pronounced character of concomitant diseases. After vagotomy with the organ-preserving operation, there were no lethal outcomes.
authors.forename: A A
authors.initials: AA
authors.lastname: Kul'chiev
authors.forename: S V
authors.initials: SV
authors.lastname: Dzasokhov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000075202:Contraindications; D004381:Duodenal Ulcer / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D012008:Recurrence; D013276:Stomach Ulcer / Q000150:complications*; D013536:Suture Techniques; D014629:Vagotomy, Proximal Gastric / Q000379:methods*
vernacular_title: Sovremennye sposoby khirurgicheskogo lecheniia perforativnoĭ piloroduodenal'noĭ iazvy.