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Understanding Ni**le Discharge 👇
12/08/2026

Understanding Ni**le Discharge 👇

🚨 WOUND DEHISCENCE — When a Surgical Wound ReopensA postoperative wound that starts separating is not just a dressing pr...
10/08/2026

🚨 WOUND DEHISCENCE — When a Surgical Wound Reopens

A postoperative wound that starts separating is not just a dressing problem — it can be a major surgical complication.

🩺 Wound dehiscence = partial or complete separation of previously approximated wound edges.

It commonly occurs around postoperative days 5–8, when wound strength is still low and collagen remodeling is incomplete.

⚠️ Major risk factors:
• Surgical-site infection
• Excessive tension on the wound
• Poor tissue perfusion
• Diabetes mellitus
• Malnutrition / low protein status
• Obesity
• Steroid therapy
• Smoking
• Persistent coughing or increased intra-abdominal pressure

🔥 Classic warning sign:
A patient suddenly notices serosanguineous discharge from the wound, sometimes followed by visible separation of the wound edges.

If the fascial layer disrupts, abdominal contents may protrude — this is evisceration, a surgical emergency.

🚑 If evisceration occurs:
✅ Cover exposed viscera with sterile saline-moistened gauze
✅ Keep the patient supine
✅ Do NOT attempt to push the bowel back inside
✅ Arrange urgent surgical management

🧠 EXAM PEARL:
Wound tensile strength is weakest during the early postoperative period, making infection and mechanical stress especially dangerous.

❓ MCQ TIME

A postoperative patient develops sudden serosanguineous discharge from an abdominal incision on day 6 after surgery. What should be suspected first?

A. Hypertrophic scar
B. Wound dehiscence
C. Keloid formation
D. Contact dermatitis

👇 Drop your answers below

📌 Remember:
“Day 5–8 + pink discharge + wound separation = think DEHISCENCE.”

Save this for your surgery revision! 🩺📚

👇 Drop Your Answers Below 👇
10/08/2026

👇 Drop Your Answers Below 👇

👇 Drop Your Answers Below 👇
10/08/2026

👇 Drop Your Answers Below 👇

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