Bolli M, Schilling M
Klinik für Allgemeine, Viszeral-, Gefäss- und Kinderchirurgie, Universitätsklinikum des Saarlandes, 66421 Homburg/Saar.
Chirurg. 2006 May;77(5):408-13. doi: 10.1007/s00104-006-1172-9.
Access to the abdominal cavity must be performed in such a way that surgical treatment procedures can be performed safely. For skin incision, scalpel and electrocautery are equivalent. Subcutaneous tissue and fascias must be divided by electrocautery to minimize blood loss. The best way to close the abdominal cavity is by an all layer, slowly absorbable, running suture with a suture: wound length ratio of at least 4:1. Closing the peritoneal layer is not necessary. Subcutaneous sutures and drains do not reduce the risk of wound complications. Staples should be used for closing the skin.
进入腹腔的操作必须以能安全进行手术治疗程序的方式进行。对于皮肤切口，手术刀和电灼术效果相当。皮下组织和筋膜必须用电灼术切开以尽量减少失血。关闭腹腔的最佳方法是采用全层、缓慢吸收的连续缝合，缝线与伤口长度的比例至少为4:1。无需缝合腹膜层。皮下缝合和引流并不能降低伤口并发症的风险。皮肤应使用吻合钉闭合。
