[Results of the surgical treatment of perforated ulcer of the stomach and duodenum].

The authors studied the results of operations for perforated gastric and duodenal ulcers performed from 1978 to 1987. During this period, 263 operations were carried out, the postoperative mortality was 11%. The late results were studied in 137 patients in follow-up periods of 12 months to 11 years. Decrease in the postoperative mortality rates depends on timely hospitalization of the patient and adequate performance of the operation. Closure of the ulcer with sutures is expedient in young patients who have no clinical manifestations of the disease (silent ulcer). In individuals with recurrent ulcers, the subsequent therapeutic policy must be more active, that is planned surgical treatment.