Sturlese E, Retto G, Pulia A, Tripodi A, La Gamba D, Pullé C
University of Messina, Gynaecologic and Obstetrics Clinic, Italy.
Clin Exp Obstet Gynecol. 1999;26(3-4):217-8.
The prevention of infectious complications by antibiotic prophylaxis has made traditional or laparoscopic surgery much safer but at the same time has contributed to an uncontrolled and often irrational use of every kind of antibiotic. In this study we wanted to show that often mini-invasive surgery like laparoscopy can be practised without the use of antibiotics. Thus, postoperatively several patients undergoing laparoscopic, diagnostic and operative interventions were followed-up. The results showed that subjects without antibiotic therapy did not have any symptomatology that could be ascribed to bacterial infections. In conclusion this study has demonstrated that laparoscopic surgery, especially without any complications, should follow the elementary rules of surgical techniques and surgical asepsis and that antibiotic prophylaxis is not always necessary.
抗生素预防感染性并发症使得传统手术或腹腔镜手术更加安全，但同时也导致了各类抗生素的无节制且常常不合理的使用。在本研究中，我们想要表明，像腹腔镜检查这样的微创手术通常可以在不使用抗生素的情况下进行。因此，对术后接受腹腔镜诊断和手术干预的几名患者进行了随访。结果显示，未接受抗生素治疗的受试者没有任何可归因于细菌感染的症状。总之，本研究表明，腹腔镜手术，尤其是无任何并发症的手术，应遵循手术技术和手术无菌的基本规则，且抗生素预防并非总是必要的。
