SURGICAL operations are performed more and more frequently upon organs which are ischemic either accidentally or by design. The necessity for control of the growth of bacteria within these tissues is obvious. Recent experiments1-4 indicate that adequate tissue levels of appropriate antimicrobial drugs are effective in the prevention of postoperative infection. This experiment was performed to determine whether prior administration of antimicrobial drugs might prevent ischemic gangrene of the intestine caused by obstruction of the mesenteric artery.
Using aseptic methods with the dogs under anesthesia induced by sodium pentobarbital administered intravenously, the mesenteric artery was ligated in 22 dogs just distal to the first jejunal branch as described by Liang et al.5 The abdomen was closed and the dogs observed for a period of two to four weeks. Eleven selected at random were given 1,000,000 units of penicillin G in 500 ml of lactated Ringer's solution which
Cole WR, Maley ED, George PG, Bernard HR. Chemoprophylaxis With Penicillin: Prevention of Bacterial Gangrene in Ischemic Intestine. Arch Surg. 1967;94(2):182–183. doi:10.1001/archsurg.1967.01330080020007
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