[Surgical treatment of "silent" ulcers of the stomach and duodenum complicated by perforation]. / Khirurgickoe lechenie "Nemykh" iazv zheludka i dvenadtsatiperstnoi kishki, oslozhnennykh perforatsiei.

Patients with perforating "silent" ulcers and patients with continuous ulcer histories must be subjected to similar surgical treatment. In most cases it may be truncal vagotomy with draining operation on the stomach. Operation of suturing the perforating ulcer is thought to be expedient in patients with acute ulcers (they make up not more than 25%), with severe concomitant diseases, in the terminal phase of diffuse peritonitis and when performed by surgeons with insufficient experience.

[Role of prolonged peridural anesthesia in the complex of therapeutic measures after operations on the gastrointestinal tract]. / O roli prodlennoi peridural'noi anestezii v komplekse lechebnykh meropriiatii posle operatsii na zheludochno-kishechnom trakte.

On the grounds of an analysis of 577 observations over postoperative longlasting peridural anesthesia its favorable effect upon the gastrointestinal function and upon the prevention of postoperative pulmonary complications has been shown. The importance of an individual approach to the indications of peridural anesthesia in the postoperative period is emphasized.

[Results of subdiaphragmatic vagotomy for perforated ulcer in the region of the pylorus and duodenum]. / Rezul'taty poddiafragmal'noi vagotomii po povodu perforativnoi iazvy oblasti privratnika i dvenadtsatiperstnoi kishki

Within the recent 7 years in the clinic 400 operations of trunk vagotomy with drainage of the stomach were performed for complicated ulcers of the duodenum, 110 of them - in perforating ulcer. The postoperative mortality was 1.8%. The immediate and late results were studied within the terms from 6 months to 6 years. Good results were obtained in 79.9%, satisfactory - in 17.6%. Poor issues were noted in 1 patient, who was reoperated upon gastric resection being performed.