ABSTRACT
There were examined 46 patients, in whom operative treatment of perforative duodenal ulcer was conducted. Organ-preserving operations were performed in conjunction with selective proxymal or truncal vagotomy. In far-remote terms after the operation in 12 patients gastrooesophageal reflux have occurred, DeMeester index have constituted 17.5-38.5. Impact of operative trauma on antireflux power of gastro-oesophageal junction was noted.
Subject(s)
Duodenal Ulcer/surgery , Gastroesophageal Reflux/pathology , Peptic Ulcer Perforation/surgery , Adult , Duodenal Ulcer/complications , Duodenal Ulcer/pathology , Gastroesophageal Reflux/etiology , Humans , Middle Aged , Peptic Ulcer Perforation/complications , Peptic Ulcer Perforation/pathology , Postoperative Period , Vagotomy/methodsABSTRACT
The results of prosthetic hernioplasty, performed in 61 patients for a small- and middle-size abdominal wall hernia (AWH) were analyzed. In a control group in 18 (29.5%) patients the IPOM-procedure was applied and in the main group in 43 (70.5%)--the combined plasty. Complications, which have had occurred in 2 (11.1%) patients of a control group and in 4 (9.3%)--of the main, were cured using conservative methods. While five-year followup the AWH recurrence was not noted. The introduction of the elaborated tactic of treatment, named the combined reconstructive hernioplasty, have permitted to improve the late functional and cosmetic results due to restoration of abdominal linea alba integrity.
