Satsukevich V N, Shulika A S, Kurygin A A
Vestn Khir Im I I Grek. 1987 Jun;138(6):21-4.
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.
患有穿孔性“无症状”溃疡的患者和有持续性溃疡病史的患者必须接受类似的手术治疗。在大多数情况下，可能是行迷走神经干切断术并加做胃引流手术。对于急性溃疡患者（这类患者占比不超过25%）、伴有严重合并症的患者、弥漫性腹膜炎终末期患者以及经验不足的外科医生进行手术时，认为缝合穿孔性溃疡的手术是可取的。
