[Treatment of perforated gastroduodenal ulcers]

Results of treatment of 751 patients with perforated gastroduodenal ulcers are analyzed. In addition to routine tests, ultrasonography, computed tomography and laparoscopy were used to diagnose difficult cases. The optimum surgical aids are chosen by taking into account the interval between the onset of perforation and admission, a history of peptic ulcerous, the pattern of peritonitis, age, comorbidity, and surgical findings. Organ-saving operations with a vagotomy are preferable. 1% serotonin-adipinate (1 ml dissolved in 200 ml saline solution) was intravenously used to prevent early postvagotomic disorders (gastric atony, dynamic ileus, etc.) in the early postoperative period. Organ-saving operations with vagotomy were found to have some advantage over routine suturing.