Prevention of purulent-inflammatory wound complications in the tactics of planned relaparotomies in patients with peritonitis
- Authors: Klimovich I.N.1, Maskin S.S.1, Shmyrev K.A.2, Golbrah V.A.1, Derbentseva T.V.1, Aleksandrov V.V.1, Orlov D.V.2, Dubrovin I.A.2
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Affiliations:
- Volgograd State Medical University
- Clinical Hospital № 5, Volgograd
- Issue: Vol 22, No 4 (2025)
- Pages: 91-95
- Section: Original Researches
- URL: https://ogarev-online.ru/1994-9480/article/view/375652
- DOI: https://doi.org/10.19163/1994-9480-2025-22-4-91-95
- ID: 375652
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Abstract
Patients with emergency abdominal surgical pathology (EASP) who underwent a single planned relaparotomy (SPR) face difficulties in preventing purulent-inflammatory wound complications (PIWC), since in the interoperative period the wound is subject to hypercontamination by infectious agents from the abdominal cavity.
Objective: To improve the treatment outcomes of patients with EASP who underwent SPR by using improved methods for preventing PWC.
Materials and methods: Clinical studies were conducted in 103 patients with various EASP who underwent single SPR, including retrospective studies in 64 (comparison group) and prospective studies in 39 (main group). Exclusion criteria included deceased patients.
Results and discussion: In the comparison group, PIWC after SPR developed in 46,9 % (30 out of 64) of cases. Before the primary operation and in the interoperative period, standard prevention of wound suppuration was carried out. In the main group, prevention of PIWC in the interoperative period was carried out on the basis of prolonged irrigation of wounds with antibiotics, with anaerobic flora, additional insufflation of the wound with oxygen. In the main group, it was possible to reduce the development of PIWC by 23.8 % (р = 0,021).
Conclusions: Improved methods for preventing PIWC in patients with EASP who underwent SPR can statistically significant reduce the percentage of suppuration of postoperative wounds.
About the authors
Igor N. Klimovich
Volgograd State Medical University
Author for correspondence.
Email: klimovichigor1122@yandex.ru
ORCID iD: 0000-0002-7933-2635
Doctor of Medical Sciences, Professor of the Department of Hospital Surgery
Russian Federation, VolgogradSergei S. Maskin
Volgograd State Medical University
Email: maskins@bk.ru
ORCID iD: 0000-0002-5275-4213
Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery
Russian Federation, VolgogradKonstantin A. Shmyrev
Clinical Hospital № 5, Volgograd
Email: drkash@yandex.ru
ORCID iD: 0009-0007-4545-4689
surgeon
Russian Federation, VolgogradVyacheslav A. Golbrah
Volgograd State Medical University
Email: golbrah@yandex.ru
ORCID iD: 0000-0003-2589-4322
Doctor of Medical Sciences, Professor of the Department of Hospital Surgery
Russian Federation, VolgogradTatyana V. Derbentseva
Volgograd State Medical University
Email: tatyana-derbenceva@yandex.ru
ORCID iD: 0000-0001-5735-9557
Сandidate of Medical Sciences, docent of the Department of Hospital Surgery
Russian Federation, VolgogradVasiliy V. Aleksandrov
Volgograd State Medical University
Email: 79178304989@yandex.ru
ORCID iD: 0000-0001-8364-8934
Candidate of Medical Sciences, Docent, Associate Professor of the Department of Hospital Surgery
Russian Federation, VolgogradDmitrii V. Orlov
Clinical Hospital № 5, Volgograd
Email: Platmed@yandex.ru
ORCID iD: 0000-0001-8233-4538
chief physician
Russian Federation, VolgogradIgor A. Dubrovin
Clinical Hospital № 5, Volgograd
Email: dubrovinigor1985@mail.ru
ORCID iD: 0009-0006-7265-8858
head of the Department of surgery
Russian Federation, VolgogradReferences
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