Abstract
Besides simple suture of perforated peptic ulcer as an emergency procedure, curative ulcer surgery as a primary procedure is gaining in importance. Today vagotomy with drainage has a firm place in treatment because of its low mortality (Table 1). However, primary curative surgery is carried out only in selected cases, whereas simple suture primalis performed on high-risk patients [1]. The decision to attempt curative treatment is determined by the length of preceding dyspeptic history, an interval of less than 8 hours since perforation, age under 70 years, and reasonable health [2, 4, 5, 6]. If vagotomy is used, the truncal form is usually [4, 5, 6], but there are also recent reports on selective gastric vagotomy in selected cases [2, 3, 6].
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Holle, F., Andersson, S. (1974). Vagotomy in Ulcer Complications. In: Holle, F., Andersson, S. (eds) Vagotomy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65889-1_39
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DOI: https://doi.org/10.1007/978-3-642-65889-1_39
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