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

Which diagnosis listed does not require surgical intervention?

1. Intussusception

2. Strangulated hernia

3. Meckel's diverticulum

4. Paralytic ileus

The correct answer is: Paralytic ileus

Paralytic ileus is a condition characterized by a temporary cessation of bowel motility, resulting in the inability of the intestines to move contents effectively. This condition typically resolves with conservative management rather than requiring invasive surgical intervention. Treatment often involves supportive measures such as fluid replacement, nasogastric decompression, and time for the bowel to regain normal function. In contrast, the other diagnoses listed—intussusception, strangulated hernia, and Meckel's diverticulum—are conditions that commonly necessitate surgical intervention. Intussusception often requires surgery to reduce the telescoping segments of the bowel. A strangulated hernia compromises the blood supply to the affected tissue and typically needs urgent surgical repair to prevent necrosis. Meckel's diverticulum can lead to complications such as obstruction or bleeding, and surgical resection is usually indicated if these complications arise. Thus, the distinction lies in the nature of the conditions; while the other diagnoses generally involve anatomical or vascular emergencies requiring surgical treatment, paralytic ileus is a functional issue that usually resolves without the need for surgery.