What is the recommended care for evisceration?

What is the recommended care for evisceration?

• A. Apply a dry sterile dressing and gently push organs back
• B. Apply any dressing and keep organs exposed
• C. Massage the wound to reduce protrusion
• D. Moist sterile dressing + occlusive cover, do not push organs back

Answer: (D)

Immediate management of evisceration focuses on protecting the exposed viscera from drying, contamination, and further trauma while avoiding any manipulation of the organs. The best approach is to cover the protruding tissues with a moist sterile dressing and then seal it with an occlusive cover to keep them moist and warm. This preserves tissue viability and reduces infection risk while awaiting surgical care. Do not push the organs back, as attempting reduction can cause tissue damage, disrupt blood supply, or perforate the intestines. Avoid dry dressings, exposing the organs, or massaging the wound.

Immediate management of evisceration focuses on protecting the exposed viscera from drying, contamination, and further trauma while avoiding any manipulation of the organs. The best approach is to cover the protruding tissues with a moist sterile dressing and then seal it with an occlusive cover to keep them moist and warm. This preserves tissue viability and reduces infection risk while awaiting surgical care. Do not push the organs back, as attempting reduction can cause tissue damage, disrupt blood supply, or perforate the intestines. Avoid dry dressings, exposing the organs, or massaging the wound.