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Closure of eviscerationFrom: Sing-Hung Chang (changl@cariari.ucr.ac.cr)Sat Apr 26 22:16:10 1997
Dear list, An otherwise healthy 56 y/o who had undergone a hysterectomy for in situ cervical cancer a week ago, eviscerated when the nurse took off the stitches from the wound. She had complete exposure of intestines and was inmediately packed with sterile pads soaked with saline (it happened right in the hospital). The attending gynecologist ordered inmediate closure, but the anaesthesiologist prompted for a delay of a few hours because the pt had a heavy meal just an hour ago. My question is: How soon should an abdominal evisceration like this one be closed? Is it ok to give the anaesthesiologist the few hours he asked?
-- Sing-Hung Chang Resident
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