[Plastic surgery of gastric and duodenal perforations (an experimental study)]

The plastic properties of the greater omentum cannot be used to a full measure in the existing methods of closure of perforating ulcers. The authors suggest a method of plastic repair of gastric and duodenal perforations with the greater omentum using a metal design with shape storage. The plastic properties of the greater omentum are used fully in the suggested method. The supply of blood in the area of the omentum placed into the stomach is maintained for 2-3 days after the operation. And later the blood supply to the region of the ulcerous defect improves due to the formation of anastomoses between the vessels of the omentum and the stomach. The obturation of the perforation is more reliable in this method than in Oppel-Polikarpov's method. The suggested method was tested in experiments with good results.