Abstract

1) Ave.-Assoc. E. D. Ruzsky made a report on the shortcomings of submerged silk sutures applied to the aponeurosis during laparotomy. The report was based on 4 cases of the appearance of late after a month or more inflammatory infiltrates in the skin wound with the formation of fistulous passages and the expelling of silk sutures after well, even by primary intention, of the healed abdominal wall incisions during laparotomies. The suppuration lasted for a long time from 7 months. up to 2 years, until all the sutures came out, and the patients remained disabled all this time. The speaker sees the reason for these complications in the properties of silk threads, namely, in their non-absorbability, porosity and ability to drain. In view of all this, he does not advise using silk as a ligature material for suturing the aponeurosis of the abdominal walls during laparotomy.

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