[Suppurative complications after prosthesis of the abdominal aorta and main arteries]

The classification of a local wound infection, developed after reconstructive operations on the abdominal aorta and its distal branches, is given. Among 245 reconstructive-restorative procedures there were 14 cases of deep local wound infection associated with an exposure of vascular grafts. A system of measures for prevention of infectious complications has been elaborated. It comprised strict observation of the asepsis rules, an improvement of the technic of surgical intervention, lessening of the duration of surgery and blood loss. Special attention is given to the technic of closure and management of vascular wounds, prophylactic application of antibiotics of a wide spectrum of action. In development of the wound infection it seems rational to accomplish an active drainage of the wound with local and general administration of massive doses of specific antibiotics, proteolytic enzymes, antiseptics and then to close a vascular graft by viable tissues. Should these measures fail, then a bypass shunting and removal of the infected prosthesis is indicated.