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Epidemiological diagnosis of evisceration in general surgery

BACKGROUND: To quantify the clinical experience and epidemiological diagnosis of eviscerations, creating a profile of risk factors. METHODS: During the years 2000 to 2001, 1182 patients were studied, including 13 with eviscerations, followed prospectively by research protocol. RESULTS: Of 13 cases of evisceration, 69,2% were men, with mean age of 55,9 years. Neoplasic disease was the most frequent base disease (61,5%) and the mean time of evisceration was 12,1days. The mean albumin serum level found was 2.8g/dl and continuous suture was the most frequent abdominal wall closure technique. CONCLUSION: The profile of patient for evisceration include men, obeses, older than 50 years with malignant disease and hipoalbuminemia. These patient have high risk to develop local complications such as infection and elevation of intra-abdominal pressure, and, abdominal wall dehiscence. The analisis of risks factors must be mandatory in decision of primary ancorage of this population.

Surgical wound dehiscence; Wound healing; Diagnostic


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