On the 5th post operative day after abdominal surgery, a patient has been draining copious amounts of clear pink fluid from his mid line laparotomy wound. A medical student removes the dressing, confirms that it is soaked, and sees a normal-appearing fresh wound with a row of skin staples in place.The student asks the patient to sit up so he can get out of bed and be helped to the treatment room for a more thorough examination. When the patient complies, the wound opens widely, and a handful of small bowel suddenly rushes out. Which of the following is the most appropriate management at this time?
A. Cover the bowel with dry sterile dressings and schedule urgent surgical closure
B. Cover the bowel with sterile dressings soaked in warm saline and rush the patient to the operating room
C. Irrigate the bowel with cold antiseptic solutions while awaiting urgent surgical closure
D. Takethepatienttothetreatmentroomandsuturetheskinedgestogether
E. Wearing sterile gloves, push the bowel back in and tape the wound securely
A. Cover the bowel with dry sterile dressings and schedule urgent surgical closure
B. Cover the bowel with sterile dressings soaked in warm saline and rush the patient to the operating room
C. Irrigate the bowel with cold antiseptic solutions while awaiting urgent surgical closure
D. Takethepatienttothetreatmentroomandsuturetheskinedgestogether
E. Wearing sterile gloves, push the bowel back in and tape the wound securely