Analysis of structure of late posthospitalized chronic recurrent purulent wound complications after operations on organs of abdomen and retroperitoneum

Materials for this research were the results of complex examination and surgical treatment of 395 patients with chronic recurrent posthospitalized purulent wound complications re-admitted to the department of purulent surgery of City Clinical Hospital №2 n.a. VI. Razumovsky over five-year period; for the period from 2 months to 38 years after the primary undergone surgery on organs of abdominal and retroperitoneal space. On the basis of clinical data, surgical and biopsy material and operating discoveries the frequency and nature of postoperative complications of wound process during the remote posthospitalized period were studied. Structure of recurrent inflammatory purulent processes represented 4 groups of complications: I - «ligature» complications - 107 (27,1%); II - nonligature genesis complications- 199 (50,4%); III -complications that are not related to the transferred operations-25 (6,3%); IV-complications due to a combination of reasons - 64 (16,2%). Clinical pathological processes in each group of complications were determined in the form of abscesses, fistulas, infiltrates in the projection of postoperative scar and classified in the case history as «ligature». By etiology, pathogenesis and morphology they presented a variety of nosological forms. Each clinical and morphological form had its own nuances of the clinical course, treatment and prognosis, which were not occurred during routine diagnostic methods. They occurred to be visible during retrospective analysis and had practical significance in the correct choice of surgical treatment