Question

A 52 year old man undergoes a laparotomy for perforated bowel after a colonoscopy. 2 days after surgery the nursing staff report there is pink, serous fluid discharging from the wound. What is the next most appropriate management step?

a. IV antibiotics for wound infection
b. no further management
c. examine the wound for separation
d. insert a drain into the wound
e. CT abdomen

Answer 1

For a patient with serous fluid discharge after laparotomy, the next step is to examine the wound for separation to determine if immediate intervention is needed.

Step-by-step explanation:

In the case of a 52-year-old man experiencing pink, serous fluid discharging from his wound after a laparotomy for perforated bowel, the next most appropriate management step is to examine the wound for separation. Serous discharge can be a normal part of the healing process, but if it is associated with wound dehiscence (separation), this may indicate a need for immediate intervention. Further management, such as administering IV antibiotics, may be necessary if an infection is confirmed. A CT scan or inserting a drain may also be considered based on the wound's condition and the presence of any additional complicating factors such as infection or abscess.