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Re: Closure of evisceration From: dahmd@gate.net Sat Apr 26 23:27:03 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: J. Bulley: "Tu Epi's and other stuff" Previous message: Robert J. Woolley: "morbidity of sphincter damage" Maybe in reply to: Sing-Hung Chang: "Closure of evisceration" Next in thread: Malcolm Griffiths: "Re: Closure of evisceration" Reply: Malcolm Griffiths: "Re: Closure of evisceration" Sing-Hung Chang wrote: > 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. I have never treated an evisceration, so let me quote from TeLinde's Operative Gynecology: "Evisceration must be recognized early and treated promptly, since the mortality rate has been reported to be as high as 15% to 20%." Furthermore, "Immediate closure of the disrupted incision is indicated." If there are any evisceration experts out there I would enjoy hearing their opinion(s) on this. I think the anesthesiologist was wrong. I doubt that he or she would have opted for a delay of a few hours with a ruptured ectopic pregnancy, fetal distress requiring a c/section, a gunshot to the femoral artery, or other surgical emergencies. We're not talking a bilateral tubal ligation here! Ashley D. Ashley Hill,M.D. dahdmd@gate.net Orlando, FL Next message: J. Bulley: "Tu Epi's and other stuff" Previous message: Robert J. Woolley: "morbidity of sphincter damage" Maybe in reply to: Sing-Hung Chang: "Closure of evisceration" Next in thread: Malcolm Griffiths: "Re: Closure of evisceration" Reply: Malcolm Griffiths: "Re: Closure of evisceration"

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