Andreev S D, Adamian A A, Usenov D A
Khirurgiia (Mosk). 1991 May(5):82-6.
The article deals with the results of examination and treatment of 153 patients with postoperative ventral hernias. In 109 (71.3%) of these patients the hernia formed due to suppuration of the wound after the first operation; 48 (31.4%) hab on admission a source of purulent surgical infection in the zone of the future operative intervention. According to the findings of microbiological examination of intraoperative biopsies and smears taken from wounds and fistulas, the patients were divided into three groups (group 1, 10(1) microbial bodies per kg tissue; group 2, 10(2); group 3, 10(5)). Pharmacological studies showed that the necessary concentration of broad-spectrum antibiotics is produced only when they are injected by the infiltrative method. On basis of this, the authors developed a scheme for the prevention of purulent complications in herniotomy with the use of biological and synthetic prostheses for each group of patients. The method produced good results in the majority of patients with minimal suppurations (3.9%) and recurrent hernias (0.65%).
本文探讨了153例术后腹疝患者的检查和治疗结果。其中109例（71.3%）患者的疝是由于首次手术后伤口化脓形成的；48例（31.4%）患者在入院时，未来手术干预区域存在化脓性手术感染源。根据术中活检以及取自伤口和瘘管的涂片的微生物学检查结果，将患者分为三组（第1组，每千克组织中有10¹个微生物体；第2组，10²个；第3组，10⁵个）。药理学研究表明，只有通过浸润法注射广谱抗生素时，才能产生必要的浓度。基于此，作者为每组患者制定了一种使用生物和合成假体预防疝修补术中化脓性并发症的方案。该方法在大多数患者中取得了良好效果，化脓最少（3.9%），复发疝（0.65%）。
