Tissot E
J Chir (Paris). 1975 Jan;109(1):85-96.
Breakdown of sutures is the main complication of colonic and rectal surgery. The percentage of breakdowns is between 5 and 10 p. 100. The latter may be obvious as shown by a fistula or by peritonitis. But they may also be latent and present with septicemic shock. One must then detect the breakdown by the association of clinical, radiological and laboratory signs in order to re-operate immediately. Intensive care plays a very important role in the treatment of this lesion. Suture breakdown is sometimes unforseeable, but it may be avoided by taking into consideration certain prophylactic rules which are analysed here.
缝线裂开是结肠和直肠手术的主要并发症。裂开的发生率在5%至10%之间（每100例中有5至10例）。后者可能表现明显，如出现瘘管或腹膜炎。但也可能是隐匿性的，并伴有败血症性休克。此时必须通过综合临床、放射学和实验室检查结果来发现缝线裂开，以便立即再次手术。重症监护在这种病变的治疗中起着非常重要的作用。缝线裂开有时不可预见，但通过考虑这里分析的某些预防规则可以避免。
