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
Recommended Citation
Bowen, Arthur, "Postoperative wound disruption and evisceration. An analysis of thirty-four cases with a review of the literature" (1940). Loma Linda University Faculty Publications. 243.
https://scholarsrepository.llu.edu/fac_pubs/243