[Significance of selective proximal vagotomy (spV) in the treatment of gastroduodenal ulcer in a district hospital of an occupational health service].

In a small district hospital of the Factory Public Health the selective proximal vagotomy was introduced in conformity with the indicated standard operation technique in patients with gastroduodenal ulcer. This operation technique was based on the literature publications and on the own experiences within the methodical instructions in university hospitals. The importance of the selective proximal vagotomy (spV) was checked by means of 110 surgical operations, above, all for the reincorporation of the miners into the work procedure. Simultaneous the value of a continually dispensary care of the patients who underwent gastric operation was emphasized. The possibilities of the preoperative and postoperative diagnostic in a small district hospital were pointed out; at this a good cooperation and interdisciplinary collaboration with greater hospitals guarantees optimum investigation programmes. The regular medical supervision of operated patients is at the same time followed by a control of quality of the own performed work.