Silva-Cuevas A, Cárdenas A, Alemán-Velázquez P, Dávalos-Rodríguez G
Departamento de Cirugía, Facultad de Medicina, Universidad Nacional Autónoma de México, México, D.F.
Bol Med Hosp Infant Mex. 1991 Feb;48(2):112-6.
The healing process carried out during the first 72 hours of the anastomotic line of the small intestine has not been satisfactorily studied. This is a time during which intestinal transit is evaluated and oral feeding is given without being really sure whether there is resistance to rupture and if the open surgical technique favors local infection. For this study, 120 guinea pigs submitted to end-to-end anastomosis were used, 30 with continuous sutures and 30 with separate stitches, who were examined 24, 48 and 72 hours after the surgery, plus another group similarly evaluated immediately after the surgery, finding that rupture resistance is greater immediately after surgery than 48 or 72 hours later and that in these, the inflammatory process is greater and a more positive number of cultures are found. The antibiotic orally and parenterally administered did not do away with the infection but did limit further complications.
小肠吻合口在术后72小时内的愈合过程尚未得到充分研究。在此期间评估肠道转运并给予经口喂养,但并不确定是否存在抗破裂能力,以及开放手术技术是否会引发局部感染。在本研究中,使用了120只接受端端吻合的豚鼠,其中30只用连续缝合,30只用间断缝合,在术后24、48和72小时进行检查,另外还有一组在术后立即进行类似评估,发现术后即刻的抗破裂能力比48或72小时后更强,而且在这些豚鼠中,炎症过程更严重,培养结果阳性数量更多。口服和经肠胃外给予的抗生素并不能消除感染,但确实限制了进一步的并发症。