Resumen

RODRIGUEZ FERNANDEZ, Zenén; GUASCH ARIAS, Pablo Antonio; CABRERA SALAZAR, Jesús  y  BLANCO MILA, Abel. Postlaparotomy evisceration in adults. Rev Cubana Cir [online]. 2009, vol.48, n.4. ISSN 0034-7493.

INTRODUCTION: The aim of present study was to identify the risk conditions and features related to medical and surgical treatment, hospital stage, and discharge status of patients presenting with postoperative evisceration. METHODS: An observational and descriptive study was conducted in 30 adult patients underwent evisceration postlaparotomy performed in "Dr. Joalquín Castillo Duany" Teaching Provincial Hospital in Santiago de Cuba province during the five-year period 2002-2006. RESULTS: The closure of abdominal wall using non-absorbable, continuous internal subtotal suture supported by total suture becomes option of more favorable therapeutical results. The use of broad spectrum antibiotics was the optimal measure in face of the marked variety of germs present in the series. The long hospital stage was associated with predominance of admissions in intensive care units (ICUs). It was possible to identify the surgical reintervention, the increase of intra-abdominal pressure and the opening of aponeurosis using electroscalapel as the prevailing risk conditions. CONCLUSIONS: Evisceration is a severe postsurgical complication due to its high morbidity and the coexistence of many risk conditions, justifying the individual treatment of each patient. For its prevention it is mandatory strict measures before, during and after surgery where surgeon plays the leading role.

Palabras clave : Evisceration; sound dehiscence; treatment; prevention risk conditions.

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