Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

Which condition does not require emergency surgery?

1. Fecal impaction

2. Sigmoid colon volvulus

3. Paralytic ileus

4. All of the above

The correct answer is: All of the above

The condition that does not require emergency surgery is fecal impaction, along with sigmoid colon volvulus and paralytic ileus being conditions that may not necessarily demand immediate surgical intervention. Fecal impaction typically involves a severe blockage of the bowel due to hardened stool. While it can cause significant discomfort and lead to complications, it is often managed with conservative treatment methods, such as enemas, stool softeners, and manual disimpaction, rather than surgical procedures. Sigmoid colon volvulus can be serious, but not all cases require urgent surgery. In some instances, it can be resolved through non-surgical means such as endoscopic decompression. Emergency surgery is indicated for cases that are strangulated or if there are signs of ischemia, but many cases allow for a more measured approach. Paralytic ileus, characterized by a temporary cessation of bowel movement without any obstruction, also does not usually necessitate surgical intervention. Treatment focuses on supportive care, such as providing fluids, managing electrolytes, and allowing the bowel to recover gradually. In summary, while all these conditions can present significant challenges, they do not universally require emergency surgery, allowing for different treatment strategies based on the specific circumstances of each case.