METHODS AND PRINCIPLES OF EXCISION OF PERFORATED DUODENAL ULCERS

Abstract

The authors have developed and implemented techniques and techniques for excision of perforated duodenal ulcers (PDU) with pylorus-preserving pyloroduodenoplasty (PDP) by preserving the integrity of the multifaceted function of the pyloric pulp (patents No. 2262 and No. 0128 IPA RUz were obtained). The subject of the study was patients who underwent excision PDU with pylorus-sparing PDP (main group) and 98 (20.5%) patients who underwent excision of PDU with PDP accompanied by destruction of the pyloric pulp (comparison group). By optimizing the surgical tactics, along with improved techniques and techniques for excision of PDU with pylorus-sparing PDP, the authors improved excellent and good results by 23.1% (in the control group - 64.4%, in the main group - 87.7%), reduced the frequency of satisfactory results by 16.0% (in the control group - 24.4%, in the main group - 8.4%) and unsatisfactory - by 7.1% (in the control group - 11.0%, in the main group - 3.9%)