Title

Postoperative wound disruption and evisceration. An analysis of thirty-four cases with a review of the literature

Document Type

Article

Publication Date

1-1-1940

Publication Title

The American Journal of Surgery

ISSN

00029610

Abstract

1. 1. Certain primary diseases, especially cancer and operations on the stomach and biliary tract, predispose to evisceration. 2. 2. In a majority of the eviscerated cases, the preoperative condition was poor; and the postoperative course complicated by distention, vomiting and cough. 3. 3. Evisceration has followed every type of incision and closure. 4. 4. The tragedy of evisceration is due to its complicating intestinal obstruction. 5. 5. The mortality in eviscerated cases is high-16 to 75 per cent. 6. 6. Evisceration takes place in the first few postoperative days and is born to view usually at the time the skin sutures are removed. 7. 7. A hiatus in the peritoneum due to inadequate closure; early absorption of catgut; increased intra-abdominal pressure, permit the intra-abdominal contents to escape. 8. 8. To Jenkins30 series of 389 American and 903 European cases, the author has added 232 additional American cases and tabulated the data on the total of 1,526 cases. © 1940.

Volume

47

Issue

1

First Page

3

Last Page

19

DOI

10.1016/S0002-9610(40)90112-X

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