FIELD: medicine, surgery.
SUBSTANCE: one should perform the upper median laparotomy, mobilize duodenal bulb, make two semilunar incisions of anterior-lateral walls at anterior wall of duodenal bulb being 3-4 mm against pyloric bagasse by dissecting the part of ellipsoid form with the ulcer. After that one should form a valve at anterior wall of duodenal bulb by the following technique: one should perform leaving about 20-22 mm against the lower edge of developed defect a semilunar incision at its depth to achieve submucous layer by connecting incision with ellipse poles. Then one should separate the fragment obtained, suture in mucous-submucous layer, form dublicature due to introducing deserosed section, suture in serous-muscular membranes with separate interrupted sutures with their knots towards inside. Then comes selective proximal vagotomy. The method enables to improve functional peculiarities of a valve.
EFFECT: higher efficiency of therapy.
8 dwg, 1 ex
