[Surgical tactics in mechanical jaundice].

On the basis of complex examination and treatment of 167 patients with obstructive jaundice of various etiology, the authors suggest a differentiated approach to the choice of the volume, method, and duration of detoxification therapy as well as the time and volume of an operative intervention. The necessity of preoperative correction of cholestasis by nonoperative measures and instrumental methods of decompression of the biliary tract is substantiated. It is shown that intraarterial regional infusion therapy must be applied in patients whose condition is most serious.

[Surgical treatment of duodenal ulcer].

On the basis of literature data and personal experience with more than 1000 vagotomies in patients with the ulcerous disease the authors make a conclusion that the classical resection of the stomach must be used extremely rarely for the surgical treatment of a duodenal ulcer. In non-complicated duodenal ulcers the method of choice is believed to be the isolated selective proximal vagotomy. For special indications the antrumectomy with vagotomy should be performed.