RESUMO
An experience with the operative treatment of 1620 patients has shown that incidence of postoperative complications can be reduced by using active aspiration of the gastric stump content, early intestinal feeding, autohemotransfusions for the substitution of the intraoperative blood loss.
Assuntos
Úlcera Péptica/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Adolescente , Adulto , Idoso , Transfusão de Sangue Autóloga , Feminino , Humanos , Cuidados Intraoperatórios , Masculino , Pessoa de Meia-Idade , Cuidados Pós-Operatórios , Complicações Pós-Operatórias/terapia , Cuidados Pré-Operatórios , Fatores de TempoRESUMO
The article describes main principles of the operative treatment of 42 patients with postbulbar ulcers. Choice of the surgical method was individualized: resection for the "exclusion" was used in 25 patients, gastric resection with the excision of the ulcer--in 11 patients, organ preserving operations--in 5 patients. The operations made for the "exclusion" gave most favourable immediate and long-term results. Technical details of the operations are described.
Assuntos
Úlcera Duodenal/cirurgia , Úlcera Duodenal/complicações , Seguimentos , Gastrectomia , Humanos , Métodos , Úlcera Péptica Hemorrágica/etiologiaAssuntos
Úlcera Duodenal/complicações , Úlcera Péptica Perfurada/cirurgia , Úlcera Gástrica/complicações , Adolescente , Adulto , Idoso , Feminino , Gastrectomia , Humanos , Masculino , Pessoa de Meia-Idade , Omento/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Técnicas de Sutura , VagotomiaRESUMO
The work describes and presents original illustrations of specific features of the technique of selective proximal vagotomy developed in anatomo-surgical examinations and successfully used in 108 patients with duodenal ulcer. The follow-up investigation of remote results later than 3 years showed good results in 94% of the patients examined.