Remezyuk E. Choice method and amount of the radical operative|efficient| intervention at the perforation pyloroduodenal| ulcer depending on the clinic-morphology| description of prevalence the peritonitis

At experimental pyloroduodenal | peritonitis, if 18 hours did not pass from the moment of perforation: inflammatory|hot-tempered,ardent| changes|changing| in the abdominal region answer the syndrome of system inflammatory|hot-tempered,ardent| reply, low degree of the bacterial contamination| of abdominal region|, the morphological changes|changing| of organs (homodynamic| and hemorheologic|) carry to reverse|return| character|nature|. The separated results of surgical treatment are analyzed 248 patients with the pyloroduodenal | ulcers of breaches. In 167 patients with the perforation pyloroduodenal | ulcers studied|trained,learned| motion of widespread peritonitis depending on terms from the moment of perforation, on the basis of estimation|appraisal| of degree of the endotoxicosis|, degree of the bacterial contamination| of the abdominal region, character|nature| and prevalence of the morphological changes|changing| in the area|zone| of perforation, weight of bodily condition|figure,state,camp,mill| of patient. The algorithm of choice of method and volume of radical operative|efficient| intervention at the perforation pyloroduodenal | ulcers in the conditions of widespread peritonitis is developed. Expansion|amplification| of the indicates to|by| implementation of radical operative|efficient| intervention for patients with the perforation pyloroduodenal | ulcers in the conditions of widespread peritonitis allowed to multiply radicalism of operations to 92,8 %, to decrease frequency of early postoperative complications|complication| in 1,5 times, without lethal consequences, from 84,6 % excellent|different| and good|kind| result after implementation of radical operations in a remote|distant| postoperative| period.|