[Individual active surgical tactics in acute gastroduodenal hemorrhage caused by peptic ulcer].

The current possibilities for identifying the sources and volumes of bleeding as well as the methods of local and general hemostatic therapy allow individual-active surgical tactics to be employed in acute hemorrhage from an ulcer. It is based on consideration for the severity, volume, rate, and duration of bleeding, the localization and visual appraisal of the ulcerous substrate and the vessel undergoing erosion, the patient's age, the concomitant pathological conditions, and the degree of the operative risk. Operations in such cases should be distributed into 3 groups: emergency, postponed, and early planned. Individual choice with due account for the indications for each group of operations, which was determined in 1,789 operative interventions, made it possible to reduce the total postoperative mortality to 2.9%.