Novosti
Khirurgii

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Year 2015 Vol. 23 No 5

REVIEWS

V.I. LOGINOV1, V.V. PARSHIKOV2, R.R. KASIMOV1, A.B. BABURIN1

CURRENT MECHANICAL METHODS OF INTRAOPERATIVE PREVENTION OF SURGICAL SITE INFECTIONS

FSCE "422 Military Hospital"1 the Defense Ministry of Russia, Nizhniy
Novgorod,
Medical University "Nizhny Novgorod State Medical Academy of
Ministry of Health"2
The Russian Federation

To present the current mechanical methods of prevention of intraoperative surgical site infection and to evaluate their effectiveness. The frequency of inflammatory complications after laparotomy may reach 9,4-27,3%. The lack of the reduction in the number of postoperative complications associates with an increase of the total volume of the complex surgical interventions, against the background of resistance and virulence of nosocomial microflora, as well as the application of synthetic grafts in clinical practice. Intraoperative correction of laparotomic wound using a compensating device showed that has a significant positive effect on the healing process. Suturing wounds after laparotomy with continuous mattress overlay continuous seam and simultaneous formation dublication create the optimal conditions to ensure the formation of an elastic scar. For the prevention of wound complications in prosthetics repair of abdominal wall ventral hernias the new methods of suturing wounds and types of sutures, various techniques of adhesive, spoke, needle, rod, liquid-gel tension of edges of wound from surgical incisions and skin flap have been presented. The necessity of obligatory vacuum wound drainage using devices of constant aspiration after surgery on the postoperative ventral hernia with synthetic implants is confirmed by numerous works of Russian and foreign scientists. The conducted analysis shows the efficiency of various mechanical devices for stretching and drawing wound edges together, adaptive stitches, advanced methods of vacuum drainage to prevent infectious complications of the surgical site and the development of incisional hernias.

Keywords: ventral hernias, wound complications, wound infection, mechanical devices for drawing together the edges of wounds, drainage, draining device, adaptive suture
p. 559-565 of the original issue
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Address for correspondence:
603105, Rossiiskaia Federatsiia,
g. N. Novgorod, ul. Izhorskaia, d. 25, k. 3,
FGKU "422 voennyi gospital"' Minoborony Rossii,
khirurgicheskoe otdelenie,
tel. mob.: +7 (920) 035-06-19,
e-mail: rusdoc77@mail.ru,
Kasimov Rustam Rifkatovich
Information about the authors:
Loginov V.E., PhD, an associate professor, intern of the department of surgical FSCE "422 military hospital" of Russian Defense Ministry.
Parshikov V.V., MD, professor, department of hospital surgery named by B.A. Korolev SBEE HPE Medical University "Nizhny Novgorod State Medical Academy of Ministry of Health."
Kasimov R.R., PhD, Colonel m/s, a head of the surgical department, a leading surgeon FSCE "422 military hospital" of Russian Defense Ministry.
Baburin AB, a resident surgical department FSCE "422 military hospital" of Russian Defense Ministry.
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