[The classic resection in perforated duodenal ulcer (author's transl)]

In patients with perforated duodenal ulcer the choice of the operating method is made according to the security for the patient, the indication during the operation and the experience and the training of the surgeon. After representation of the own cases and the results after oversewing and resection the personal point of view is defined. Patients with bad initial condition, progressively peritonitis and advanced age and treated with oversewing. In patients with lokal peritonitis, good general condition and a long anamnesis of the ulcer a resection is made. A vagotomia was not performed in patients with perforated duodenal ulcer.