Understanding Burst Abdomen (Abdominal Dehiscence) Exceptions
The question asks to identify the statement that is INCORRECT about burst abdomen, also known as abdominal dehiscence. Let's analyze each option:
Statement Analysis:
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Option 1: Peak incidence is between 6th and 8th post operative day
This statement is correct. Abdominal dehiscence typically occurs most frequently within the first week to 10 days after surgery, often peaking around the 6th to 8th day, as wound healing is still in a critical phase.
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Option 2: Manage with nasogastric aspiration and intravenous fluids
This statement is correct. Initial management involves bowel decompression using nasogastric (NG) aspiration to reduce intra-abdominal pressure and prevent further evisceration, along with intravenous fluids to maintain hydration and electrolyte balance.
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Option 3: Cover the wound with sterile towel and perform emergency surgery
This statement is correct. Immediate management requires covering the exposed tissues with moist sterile dressings or towels to prevent dehydration and contamination, followed promptly by emergency surgical re-closure.
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Option 4: Second dehiscence is very common
This statement is incorrect. While patients who have experienced dehiscence may have risk factors that predispose them to future issues, a second dehiscence is not considered "very common." Careful surgical technique, adequate wound closure, and appropriate post-operative care aim to prevent recurrence. Therefore, this statement is the exception.
Conclusion
The statement that is NOT correct regarding burst abdomen (abdominal dehiscence) is that second dehiscence is very common. This makes Option D the correct answer to the question asking for the exception.
Important Questions from Abdominal Wall
Which of the following are features of umbilical hernia in adults?
1. Patients are commonly overweight with a thinned and attenuated midline raphe.
2. Most patients complain of pain due to tissue tension.
3. Men are affected more commonly than women.
4. Hernia repair can be done by the technique described by Mayo.
Select the correct answer using the code given below.
- A 45 year old male patient, a known case of left inguinal hernia presents to the emergency with an acute onset of pain abdomen associated with nausea, vomiting and abdominal distension. His pulse rate is $102/min$, BP is $100/70$ mm Hg and respiratory rate is $24/min$. On local examination, the skin overlying the swelling is tense and erythematous. There is localized tender- ness over the swelling; the swelling is irreducible with absence of cough impulse. The most probable clinical diagnosis in this patient is
- Mayo's repair is done for
- A 45 year old male patient, a known case of left inguinal hernia presents to the emergency with an acute onset of pain abdomen associated with nausea, vomiting and abdominal distension. His pulse rate is $102$/min, BP is $100/70$ mm Hg and respiratory rate is $24$/min. On local examination, the skin overlying the swelling is tense and erythematous. There is localized tender- ness over the swelling; the swelling is irreducible with absence of cough impulse. The most probable clinical diagnosis in this patient is
- Mayo's repair is done for
