[Vagotomy in the emergency treatment of duodenal ulcer].
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Biomedical subjects
Publications and source records attributed to O Kh Batchaev.
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Variations in the structure of vagus nerves studied in 264 organocomplexes of corpses were compared with the data obtained during operations on 122 patients subjected to different modifications of vagotomy. The use of the obtained anatomotopographic picture of the gastric vessels and nerves permitted preserving not only the organ operated upon but also provided the completely undisturbed innervation and blood supply of the stomach and adjacent organs. The results of examination of 176 patients subjected to proximal selective vagotomy and transverse resection of the stomach with the preserved pyloric constrictor showed that at most preserved vascularization and innervation permit to avoid incompetent sutures of anastomosis, its stenosis, dumping syndrome, gastric atonia and diskinesia of biliary ducts.
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On the grounds of experimental and topographo-anatomic findings and surgical experience with 62 patients the authors present the indications for and technic of transverse resection of the stomach with the preservation of the pyloric constrictor. Three modifications of this operation developed by the authors are described. These modifications were used for the treatment of peptic and duodenal ulcer, polyposis and benign tumor of the stomach. The peculiarities and nerves, maximal vascularization and innervation of the pyloric constrictor, natural passage of the food from the stomach.
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