Mel'nikov R A, Sneshko L I, Simonov N N, Korkhov V V, Guliaev A V
Vestn Khir Im I I Grek. 1976 Sep;117(9):41-5.
A comparative estimation of a hermetic suture of the perineal wound in 53 patients and its tight tamponade in 68 patients after extirpation of the rectum for cancer is given. Primary suture may and should be employed during this operative procedure in the absence of diffuse bleeding from the lesser pelvis walls and a damage of the intestine. Hermetic suture of the wound shows some outright advantages: the possibility for patients' rising from bed in earlier terms prevents the occurrence of complications and contributes to shortening of the postoperative period.
本文给出了53例直肠癌切除术后会阴伤口密闭缝合与68例会阴伤口紧密填塞的对比评估。在该手术过程中，若骨盆侧壁无弥漫性出血且肠道无损伤，可且应当采用一期缝合。伤口密闭缝合具有一些明显优势：患者能更早下床，可预防并发症发生并有助于缩短术后恢复时间。
