ANALYSIS OF MINIMALLY INVASIVE AND TRADITIONAL METHODS OF SUTURING OF PERFORATED ULCERS PYLOROBULBAR ZONE
Abstract
Perforated gastroduodenal ulcer is one of the most dangerous and serious complications requiring immediate surgical treatment. Properly and ad- equately defined initially, tactics and method of treatment, is the absolute key to a successful outcome. It all depends on the age of patients, comorbidity of the disease, duration of hospitalization, surgical access and methods for suturing perforations. Currently, there are many methods of surgical correction strictly from radical to palliative, and need to choose one that is needed a particular patient. The widespread introduction of the urgent surgery minimally invasive endoscopic technology, allowed the use of laparoscopy closure of perforated ulcers pylorobulbar zone to improve postoperative rehabilitation of patients and reduce the duration of treat- ment. The analysis of literature shows that there is lack of publications analysing the ways pyloroplasty suturing of perforated ulcers. On the basis of issledovani we decided to determine the indications, advantages and disadvantages of minimally invasive and traditional technologies in the treatment of patients with perforated ulcer pylorobulbar zone.
About the Authors
G. S. Rybakov
epartment of surgical diseases and clinical angiology of the faculty of dentistry and clinical angiology of the dental faculty of the Moscow state medico-stomatological University. A.I. Evdokimov (rector - corresponding member. Russian Academy of Sciences, Professor O.O. Yanushevich)
Russian Federation
Russian Federation
A. I. Isaev
epartment of surgical diseases and clinical angiology of the faculty of dentistry and clinical angiology of the dental faculty of the Moscow state medico-stomatological University. A.I. Evdokimov (rector - corresponding member. Russian Academy of Sciences, Professor O.O. Yanushevich)
Russian Federation
Russian Federation
G. S. Karsotyan
epartment of surgical diseases and clinical angiology of the faculty of dentistry and clinical angiology of the dental faculty of the Moscow state medico-stomatological University. A.I. Evdokimov (rector - corresponding member. Russian Academy of Sciences, Professor O.O. Yanushevich)
Russian Federation
Russian Federation
M. M. Elderkhanov
epartment of surgical diseases and clinical angiology of the faculty of dentistry and clinical angiology of the dental faculty of the Moscow state medico-stomatological University. A.I. Evdokimov (rector - corresponding member. Russian Academy of Sciences, Professor O.O. Yanushevich)
Russian Federation
Russian Federation
M. A. Kuznetsova
epartment of surgical diseases and clinical angiology of the faculty of dentistry and clinical angiology of the dental faculty of the Moscow state medico-stomatological University. A.I. Evdokimov (rector - corresponding member. Russian Academy of Sciences, Professor O.O. Yanushevich)
Russian Federation
Russian Federation
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Review
For citations:
Rybakov G.S., Isaev A.I., Karsotyan G.S., Elderkhanov M.M., Kuznetsova M.A. ANALYSIS OF MINIMALLY INVASIVE AND TRADITIONAL METHODS OF SUTURING OF PERFORATED ULCERS PYLOROBULBAR ZONE. Moscow Surgical Journal. 2017;(5):18-24. (In Russ.)
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