Contamination of surgical wound during tracheal resection depending on the mode of mechanical ventilation

Parshin V.D.; Starostin A.V.; Parshin V.V.

doi:https://doi.org/10.17116/hirurgia202006118

Parshin V.D.

University's Clinical Hospital №1, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

ORCID: 0000-0002-0104-481X

Starostin A.V.

Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Parshin V.V.

University's Clinical Hospital №1, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

Contamination of surgical wound during tracheal resection depending on the mode of mechanical ventilation

Authors:

Parshin V.D., Starostin A.V., Parshin V.V.

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Journal: Pirogov Russian Journal of Surgery. 2020;(6): 18‑23

DOI: 10.17116/hirurgia202006118

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To cite this article:

Parshin VD, Starostin AV, Parshin VV. Contamination of surgical wound during tracheal resection depending on the mode of mechanical ventilation. Pirogov Russian Journal of Surgery. 2020;(6):18‑23. (In Russ.)
https://doi.org/10.17116/hirurgia202006118

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Objective. To analyze contamination of surgical wound during tracheal resection depending on the mode of mechanical ventilation. Material and methods. There were 976 patients. Circular tracheal resection was made in 396 of these patients. Results. Overall postoperative morbidity was 15.7%, mortality — 0.8%. Bacteriological examination of surgical wound was performed before tracheotomy and after formation of anastomosis depending on the method of mechanical ventilation. Surgical field was sterile before tracheotomy in all cases, contamination was confirmed after tracheotomy in all patients. Minimal contamination was observed in case of apneic oxygenation (100 times less than volumetric mechanical ventilation or high frequency mechanical ventilation). In all cases, several species of pathogenic microorganisms were identified. The number of species was also minimal in case of hypnotic mechanical ventilation. Conclusion. Contamination does not directly affect the development of local purulent-inflammatory process. However, this factor should not be ignored and compliance with all preventive measures is required.

Keywords:

tracheal stenosis

tracheal resection

postoperative complications

surgical wound contamination

prophylaxis of wound suppuration

Authors:

Parshin V.D.

University's Clinical Hospital №1, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

ORCID: 0000-0002-0104-481X

Starostin A.V.

Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Parshin V.V.

University's Clinical Hospital №1, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

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