evisceration
Protrusion of abdominal contents through a dehisced surgical wound.
Full Definition
Evisceration is a serious surgical complication involving the protrusion of intra-abdominal contents (typically bowel or omentum) through a completely dehisced abdominal wound. This emergency condition occurs when both the fascial and skin layers of a surgical incision separate, allowing abdominal organs to herniate through the defect. Risk factors include wound infection, increased intra-abdominal pressure, malnutrition, and technical factors related to the original closure. Evisceration requires immediate surgical attention with emergency return to the operating room for wound exploration, organ assessment, and secure re-closure. The condition is associated with significant morbidity and mortality, particularly in elderly or debilitated patients.
Usage
Usage note: Surgical emergency requiring immediate intervention; distinguish from partial dehiscence.
In Context
- "The patient developed complete evisceration with bowel protruding through the midline incision." — Emergency surgery consultation
- "Immediate covering with saline-soaked gauze was applied to the evisceration before transport to theatre." — Nursing documentation