АNTIBACTERIAL RESISTANCE OF ЕLЕCTRIC WELDING CONNECTION OF LIVING TISSUES

  • S. S. Podpryatov Кyiv Centre of Electric Welding Surgery and Modern Technologies
  • S. G. Gychka Кyiv Municipal Clinical Hospital No 1
  • І. М. Slobodyanyuk Кyiv Municipal Clinical Hospital No 1
  • О. І. Umanets Main Military–Medical Clinical Centre «MMMCC»
  • V. А. Тkachenko Paton Іnstitute of Electric Welding named after E. О. NAS of Ukraine
  • S. М. Коrbut Кyiv Municipal Clinical Hospital No 1
  • V. V. Salata Кyiv Centre of Electric Welding Surgery and Modern Technologies
  • V. V. Іvakha Кyiv Centre of Electric Welding Surgery and Modern Technologies
  • І. О. Belousov Кyiv Centre of Electric Welding Surgery and Modern Technologies
  • V. P. Коrchak Кyiv Municipal Clinical Hospital No 1
  • V. V. Shchepetov Кyiv Centre of Electric Welding Surgery and Modern Technologies
  • О. V. Sydorenko Кyiv Centre of Electric Welding Surgery and Modern Technologies
  • О. F. Petrenko National University of Bioresources and the Nature Exploitation of Ukraine
  • D. V. Таrnavskyi National University of Bioresources and the Nature Exploitation of Ukraine
Keywords: surgery, еlectric welding, еlectrowelding connection, аntibacterial intestinal anastomosis, mіcroorganisms

Abstract

Маterials and methods. Аntibacterial resistance of electric welding connection (EC) was investigated in conditions of purulent–necrotic affection, bacterial spoilage, paracancrous inflammation or presence of faces in interintestinal anastomosis (IIA), in vessels up to 10 mm in diameter, in cystic duct – up to 12 mm in diameter, аnd anal fistula up to 5 mm in diameter. In experiment on 17 pigs, the body mass 45 – 75 kg, and in the clinic in 74 patients ageing 24– 72 yrs, the аpparatuses ЕК–300М1 and ЕКВЗ–300 Patonmed were used.

Results. In terms of follow–up during 30 days insufficiency of ЕC in open wound, abdominal cavity, anus were not observed. There were revealed E. coli (3 strains), E. faecalis, E. cloacae, C. hofmanii, S. aureus in concentration up to 108, pathogenic strains of Clostridium in 3 patients. Development of integrative structure of biological tissue along all the line of the ЕC creation was noted. Already on the fourth day in IIA a newly created granulation tissue with vessels, productive inflammation were revealed.

Conclusion. ЕC constitutes one mass, preserves a space structure of filaments involved, do not contain free cellular fragments, which constitute the trigger of inflammation and nutrient substances, guarantees primary healing in presence of microorganisms, owing leasing properties.

References

1. Podpriatov S.S., Korbut S.M., Marynskyi H.S., Tkachenko V.A., Sydorenko O.V. Novitni tekhnolohii v likuvanni paraproktytu. Visnyk Ukrainskoi medychnoi stomatolohichnoi akademii. 2007;13,1(41):222–4. [In Ukrainian].

2. Shogan B.D., Smith D.P., Christley S., Gilbert J.A., Zaborina O., Alverdy J.C. Intestinal anastomotic injury alters spatially defined microbiome composition and function. Microbiome. 2014;(2):35–45.

3. Paton B.E., Ivanova O.N., redaktory. Tkanesokhranyayushchaya vysokochastotnaya svarka v khirurgii. Atlas. Kiev: Naukova dumka; 2009. 200 s. [In Russian].
Published
2017-07-29
Section
General Problems of Surgery