General Surgery Principles — MCQs

Q: In the context of surgical procedures, gastrojejunostomy is classified as which type of wound?

Clean contaminated wound. ***Clean contaminated wound*** - A **clean contaminated wound** involves entry into body cavities that contain normal flora, such as the gastrointestinal (GI) tract. - While there is **controlled entry into a hollow viscus** (stomach and jejunum in this case), there is no unusual contamination, making it a clean contaminated wound. *Clean wound* - A **clean wound** does not involve entry into a hollow viscus or body cavity containing normal flora; it primarily involves only skin or muscle. - Procedures like a hernia repair without bowel resection or a thyroidectomy are examples of clean wounds. *Dirty/Infected wound* - A **dirty/infected wound** is characterized by the presence of frank pus, tissue necrosis, or a perforated viscus, indicating existing infection. - A gastrojejunostomy is not typically performed in the presence of an active, established infection within the surgical field unless there are specific complications. *Contaminated wound* - A **contaminated wound** involves gross spillage from the GI tract (e.g., colonic injury), major breaks in sterile technique, or severe inflammation without pus. - While gastrojejunostomy involves the GI tract, it is generally performed with controlled entry and without significant spillage or existing macroscopic infection.

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Wound Healing and Care

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