[The modern aspects of the surgical treatment of the perforated gastric and duodenal ulcer with a view to the immediate results].
Experience is recorded with the operative treatment of 185 patients with perforated gastric and duodenal ulcer over the period 1981-1991. The period was divided in two: 1981-1985 and 1986-1991. During the first period were operated 89 patients: 58 with perforated duodenal ulcer and 31 with gastric ulcer. The method of choice during this period was suture of the perforation. During the second period were operated 96 patients: 90 with duodenal and 6 with gastric ulcer. Surgical approach was also individualized depending on the pathologic process, patient age and accompanying diseases. The following operative interventions were performed: "pure suture" of the ulcer--55 patients; gastric resection by Billroth I and II techniques--7 patients; different variants of vagotomy with drainage operation--34 patients. Analysis of the immediate results in 42 patients demonstrated that best results were obtained by vagotomy + drainage operations.
Markov
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D002031:Bulgaria / Q000453:epidemiology; D004381:Duodenal Ulcer / Q000150:complications* / Q000453:epidemiology / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010439:Peptic Ulcer Perforation / Q000453:epidemiology / Q000601:surgery*; D012086:Reoperation / Q000706:statistics & numerical data; D012737:Sex Factors; D013276:Stomach Ulcer / Q000150:complications* / Q000453:epidemiology / Q000601:surgery; D013536:Suture Techniques / Q000706:statistics & numerical data; D013997:Time Factors; D014628:Vagotomy / Q000706:statistics & numerical data