FIELD: medicine. SUBSTANCE: method involves carrying out anterior transverse rhomboid duodenotomy for 2/3 parts. Cicatricial adhesions are removed from the anterior duodenum wall. Pathologic focus on the posterior duodenum wall is excised in duodenal direction. Then tunnel mobilization is carried out of one of the halves of the posterior duodenum wall. Posterior duodeno-omentopexy to contralateral wall and at the level of the middle of ulcer bed is carried out. Anterior duodenum wall is sutured in the transverse direction and completed with anterior duodeno-omentopexy. EFFECT: reduced risk of post- and intraoperative complications. 7 dwg
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