[Vagotomy in the treatment of perforated duodenal ulcers].

Results of using vagotomy with draining operations in 201 patients with perforating ulcers of the duodenum are described. The authors have developed indications to using one or another kind of vagotomy and draining operations depending on the arising surgical situation. The observation of the sequence of operative measures, certain technical methods of vagotomy, sanitation of the abdominal cavity depending on the degree of peritonitis using continuous peridural morphine anesthesia in the complex treatment makes it possible to use vagotomy even for spreaded forms of peritonitis. As compared with the analogous group of patients after resection of the stomach or suture of the perforated ulcers, the lethality was reduced from 9.4% to 2%.