Improving the results of surgical treatment of patients with intestinal suture incompetence

Purpose: to prevent the occurrence and improve the results of treatment of intestinal suture incompetence in peptic ulcer surgery. Analyzed results of 1131 patients with peptic ulcers underwent surgical treatment during since 1996 to 2020 years. Patients are conditionally split into 2 groups (the first group - patients which underwent surgery in the period before 2000 and second group - from 2000 to the present). From all patients at 2% (23 patients) existed insolvency an suther of cults of duodenum or anastomosis. In the first group at relaporotomy was used traditional tactics of the treatment to insolvency sutcher - relaparotomy, resutchering to lead "tampons-cigars" to place of insolvency, drainage of abdominal cavity. In the second group - drainage of cults duodenum through the defect, with nazointestinal drainage, active aspiration ofduodenal contents through drainage and full-fledged return it through nazointestinal drainage and oral nutrition. In the first group lethality was 1,2%, in the second group - 0,2%. Results: when using the proposed technique, among patients with insolvency of the duodenal stump sutures, 2 patients died, which amounted to 0.2% in relation to all operated patients of the second group (out of 719 patients), and in relation to all early postoperative complications -1.1%