[Suppuration of the postcholecystectomy wound]

In 212 patients after elective cholecystectomy, the bacteriologic study was performed. Bile infection was revealed in 43 (20.3%) patients, wound suppuration--in 28. Of them in 20, pathogenic microflora was cultured. In 16 patients, the microorganism in the bile and wound were identical. Escherichia coli was the main microorganism cultured from the wound and bile. The incidence of wound suppuration after cholecystectomy with the common bile duct revision is higher than after cholecystectomy alone. Changes in the gallbladder function (excluded gallbladder), or cholangiography didn't increase the risk of wound suppuration. Microorganisms cultured from the bile were the most sensitive to gentamycin and cephalosporin. Prophylactic use of antibiotics for reduction of the incidence of wound suppuration is recommended.