Langer S, Haberland R, Breining H
Langenbecks Arch Chir. 1976 Jun 4;341(1):1-9. doi: 10.1007/BF01261733.
In 30 rats the healing process of colonic anastomosis contaminated with Staphylococcus aureus was studied. At the same time on each animals a single- and double-layer anastomosis was performed. All sutures were infected during the surgical procedure with highly infectious S. aureus. The rats were sacrificed after 1, 2, 3, 4 days, and 2 1/2 weeks. Criteria for estimation were mainly visible abscess formations, leakage spots, bacteriologic and histologic examinations. After apparent inflammatory reactions were seen on the first postoperative days with a maximum on the 4th day, all sutures were completely healed and free of S. aureus after 2 1/2 weeks. As for the extent of infectious inflammation, the single-layer suture technique proved to be more resistant than the double layer.
对30只大鼠进行了研究,观察金黄色葡萄球菌污染的结肠吻合口的愈合过程。同时,对每只动物进行单层和双层吻合术。在手术过程中,所有缝线均被高传染性的金黄色葡萄球菌感染。在术后1天、2天、3天、4天和2.5周后处死大鼠。评估标准主要为可见的脓肿形成、渗漏点、细菌学和组织学检查。术后最初几天可见明显的炎症反应,第4天最为严重,2.5周后所有缝线完全愈合且无金黄色葡萄球菌。至于感染性炎症的程度,单层缝合技术比双层缝合技术更具抵抗力。