ABSTRACT
Based upon the experience with the treatment of 2312 patients with ulcer disease of the stomach and duodenum the authors analysed the major tasks which must be solved for obtaining better immediate and long-term results of the surgical treatment. In 1880 (81,3%) of the patients with a gastric ulcer and a complicated ulcer of the duodenum the stomach resection gave favorable outcomes in 98,6%. In 432 patients (18,7%) organ-preserving operations were made, in 185 of them it was vagotomy. The vagotomy was followed by recovery of 99,5% of the patients. Longterm results were studied in 1486 patients. Bad outcomes were noted in 34 patients (2,4%) after stomach resections and in 16 patients (11%) after vagotomy.
Subject(s)
Peptic Ulcer/surgery , Adolescent , Adult , Aged , Duodenal Ulcer/complications , Female , Follow-Up Studies , Gastrectomy/methods , Humans , Male , Middle Aged , Peptic Ulcer/complications , Peptic Ulcer/diagnosis , Peptic Ulcer Hemorrhage/surgery , Peptic Ulcer Perforation/surgery , Preoperative Care/methods , Stomach Ulcer/complications , Vagotomy/methodsABSTRACT
From 1975 the authors used autohemotransfusion in stomach resection for ulcer complications. The procedure was carried out upon 68 patients aged from 28 to 57. 200-350 ml of the blood were taken from these patients 4 to 7 days before operation. The routine method of donor blood conservation was used. The transfusion was performed during the operation. The patients did not develop any complications due to the blood exfusion and transfusion.
