In wound evisceration, which positioning helps reduce tension on the wound?

In wound evisceration, which positioning helps reduce tension on the wound?

• A. Low Fowler's with knees bent.
• B. Supine with knees extended.
• C. Prone.
• D. Trendelenburg.

Answer: (A)

Minimize tension on the abdominal incision to prevent further wound separation. Placing the patient in a low Fowler’s position with the knees bent relaxes the abdominal wall and reduces intra-abdominal strain on the wound, helping to protect the incision and the protruding viscera while you cover it with sterile dressings. Supine with knees extended would keep more tension on the wound; prone isn’t practical and isn’t used for this situation; Trendelenburg increases abdominal pressure and can push contents toward the wound.

Minimize tension on the abdominal incision to prevent further wound separation. Placing the patient in a low Fowler’s position with the knees bent relaxes the abdominal wall and reduces intra-abdominal strain on the wound, helping to protect the incision and the protruding viscera while you cover it with sterile dressings.

Supine with knees extended would keep more tension on the wound; prone isn’t practical and isn’t used for this situation; Trendelenburg increases abdominal pressure and can push contents toward the wound.