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Postoperative wound seroma — USMLE Step 3 MCQ

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EasySurgery (post-operative, follow-up)Postoperative wound seromaUSMLE Step 3

A 46-year-old woman returns 10 days after uncomplicated ventral hernia repair. She has a soft, fluctuant swelling under the incision. There is no erythema, drainage, fever, or increasing pain. The incision is intact. Which of the following would you recommend at the follow-up visit?

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Correct answer: EObservation and reassurance

A small uncomplicated postoperative seroma without infection or wound failure is commonly observed because many resolve spontaneously.

Reference: American College of Surgeons postoperative care guidance