[Use of delayed selective proximal vagotomy in the treatment of perforated duodenal ulcer in patients with diffuse peritonitis].

There were 76 patients operated with perforative duodenal ulcer, complicated by diffuse peritonitis and endotoxicosis stage II. In 48 patients (Ist group) the conventional treatment was conducted, in 16 (2nd group)--selective proximal vagotomy (SPV) was performed, in 12 (3d group)--programmed laparotomy. Postoperative mortality in the first group had constituted 6.25%, in the third--8.3%, in the second all the patients are alive.