Duodenoplasty for Giant Perforated Duodenal Ulcer Penetrating to the Hepatoduodenal Ligament

was 78.0+10.5 minutes. Terms of hospitalization were from 11 to 17 bed-days, the average value – 13.3+2.1. complications in the early postoperative period were the following: 2 cases of infected seroma of the postoperative scar and 1 case of the right lower lobe pneumonia. Suture failures in the sutured duodenal wound were not marked. Fibrogastroduodenoscopy revealed no ulcerative defects and severe deformation of the duodenal lumen in the duodenoplasty area. Conclusions . The application of the proposed method of duodenoplasty with the use of two-layer continuous suture in case of giant perforated duodenal ulcers to minimize the likelihood of fatality due to failure of sutures is reproducible and can be used in clinical practice. been developed and introduced for the first time. it is distinguished by the innovative technology of dissecting the anterior wall of the duodenal bulb through the perforated hole and using a two-level continuous suture that does not penetrate the intestinal lumen. The absence of cases of sutures inconsistency in the sutured intestinal wound as well as any deformation of the intestinal lumen after surgery has been established.