A 58-year-old woman returns 6 days after ventral hernia repair with incisional pain, fever, erythema, warmth, and purulent drainage. She is

Question

A 58-year-old woman returns 6 days after ventral hernia repair with incisional pain, fever, erythema, warmth, and purulent drainage. She is hemodynamically stable and has no peritonitis. Which of the following is the most appropriate next step in management?

Accepted Answer

Open the wound for drainage and obtain culture

Answer

Apply a dry dressing and reassess in 1 month

Answer

Start anticoagulation as sole therapy

Answer

Order colonoscopy

Answer

Remove abdominal wall mesh at bedside

Surgical site infection — USMLE Step 3 MCQ

A 58-year-old woman returns 6 days after ventral hernia repair with incisional pain, fever, erythema, warmth, and purulent drainage. She is hemodynamically stable and has no peritonitis. Which of the following is the most appropriate next step in management?