[Re-operations after formerly performed suturing of the "silent" perforative duodenal ulcer]. / Povtornye operatsii posle ranee proizvedennogo zashivaniia "nemoi" perforativnoi iazvy dvenadtsatiperstnoi kishki.

After the "silent" perforative duodenal ulcer closure the gap till the complications would occur, which need reoperation, by two times more than such period of time in patients with typical ulcer anamnesis, preceding the perforation. The reoperation causes are the recurrence (in 50.6% of observations), newly occurred ulcer (in 26.9%) or nonhealing of already existing (in 22.5%) duodenal ulcer. The reoperation method of choice is gastric resection according to Billroth-I in combination with truncal vagotomy in case of hypersecretory syndrome.