Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali 9-том 5-сан (2024)
OPTIMIZATION OF SURGICAL TREATMENT TACTICS IN PATIENTS WITH PERFORATED DUODENAL ULCER
ШОНАЗАРОВ Искандар Шоназарович, ОБЛОКУЛОВ Захриддин Тулкин угли
Аннотация
The study included 234 patients with duodenal ulcer complicated by perforation. In patients with a predicted severe course of peritonitis, surgery in the volume of excision of an ulcer with pyloroplasty is optimal, in which the mortality rate is 17.8% less than when it is sutured with leveling of cases of suture failure (suture failure after suturing is 22.2%). The choice of a pathogenetically justified volume of primary surgery according to the proposed criteria allows to increase their volume by 18.7%, reduces the number of patients with pyloroduodenostenosis and ulcerative bleeding, reduces the number of relapses. The use of tactics for choosing the volume of primary surgery in patients with duodenal ulcer perforation, based on predicting the aggressiveness of the course of peritonitis, led to a statistically significant decrease in the mortality rate from 9.3% to 3.8% and postoperative complications from 12.3% to 2.9%.
Язвенная болезнь двенадцатиперстной кишки, перфорация язвы, хирургическое лечениеDuodenal ulcer, ulcer perforation, surgical treatmentOʻn ikki barmoqli ichak yarasi, yara kasalligi perforatsiyasi, xirurgik davolash
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