A.G. KHASANOV¹, F.F. BADRETDINOVA¹, M.A. NURTDINOV¹, M.B. GALIN², R.Kh. SHAIKHINUROV²

¹Bashkir State Medical University, 3 Lenin St., Ufa, Russian Federation, 450000

²City Clinical Hospital №8, 1 40 let Oktyabrya St., Ufa, Russian Federation, 450112 

Khasanov A.G. — D. Med. Sc., Professor, Head of the Department of Surgical Diseases, tel. +7-927-310-01-06, e-mail: hasanovag@mail.ru

Badretdinova F.F. — Cand. Med. Sc., Associate Professor of the Department of Obstetrics and Gynecology, tel. +7-917-744-09-53, e-mail: fbadretdinova@mail.ru

Nurtdinov M.A. — D. Med. Sc., Professor of the Department of Surgical Diseases, tel. +7-965-661-66-05, e-mail: nurtdinovma68@mail.ru

Galin M.B. —postgraduate student of the Department of Surgical Diseases, Head of the Surgical Department of City Clinical Hospital №8, tel. +7-917-405-02-21, e-mail: ildars74@mail.ru

Shaikhinurov R.Kh. — endoscopist, tel. +7-917-344-50-02, e-mail: ildunn@yandex.ru

The treatment results in 75 women with perforated ulcers were analyzed. Among operated were mostly women of middle and old age. In 54 (72%) women there was no ulcer history of the disease, 21 (28%) women had history of peptic ulcer disease. Localization of the ulcer in pyloroduodenal zone was observed in 61 (81.3 %) were women, 14 (18.7%) perforated ulcers had gastric localization. In 27 (30.7%) patients the suturing of perforated holes and the sanation of abdominal cavity was made by laparoscopy and in 22 (29.3%) – by midline laparotomy. In 8 patients (10.7%) laparoscopic sanation of the abdominal cavity and closure of perforated ulcer was performed by a mini access using a mini-assistant set. Radical surgery was performed in 12 (16%) patients. Early postoperative complications occurred in 6 (8.1%) patients. 3 (4.0%) patients died. Long-term results in 35 (55.5 %) of women were considered good, 19 (30.1%) satisfactory and 9 (14.2%) — unsatisfactory.

Key words: perforated ulcer, women, diagnosis, treatment, results.

REFERENCES

1. Khasanov A.G., Nurtdinov M.A., Safargulov Kh.S., Bakirov S.Kh. Results of surgical treatment of perforated gastroduodenal ulcers in women. Endoskopicheskaya khirurgiya, 2009, no. 3, pp. 47-49 (in Russ.).
2. Zaytsev O.V., Natal’skiy A.A. Modern trends in the incidence of ulcer complications. Fundamental’nye issledovaniya, 2011, no. 9, pp. 400-403 (in Russ.).
3. Il’chenko F.N., Kislyakov V.V. Oslozhneniya yazvennoy bolezni [Complications of peptic ulcer], available at: http://medstandeta.narod.ru/new_page_194.htm (accessed: 21.10.2012).
4. Afendulov S.A., Zhuravlev G.Yu. Khirurgicheskoe lechenie yazvennoy bolezni u zhenshchin [Surgical treatment of peptic ulcer disease in women]. Moscow: Vysshaya shkola, 2001. 159 p.
5. Islamova E.A. Osobennosti kliniki, diagnostiki, lecheniya YaB Zh i DPK u patsientov razlichnogo vozrasta: avtoref. dis. … d-ra med. nauk [Features of clinic, diagnosis, treatment and duodenum ulcer F in patients of different ages. Synopsis of dis. Dr med. sci]. Volgograd, 2010. 42 p.
6. Molostova A.S., Varzin S.A. The course of duodenal ulcer in women. Zdorov’e – osnova chelovecheskogo potentsiala. Problema i puti resheniya, 2012, vol. VII, iss. no. 2, pp. 558-561 (in Russ.).
7. Abdullaev E.G., Babyshin V.V. Neotlozhnaya khirurgiya yazvennoy bolezni zheludka i dvenadtsatiperstnoy kishki: metodicheskie rekomendatsii [Emergency surgery of gastric ulcer and duodenal ulcer: guidelines]. Vladimir: Izd-vo VGU, 2006. 34 p.