Certified Neuroscience Registered Nurse (CNRN) Practice Exam

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What is one possible complication of bowel manipulation during open abdominal surgery?

Increased bowel motility
Reduced healing time
Intestinal inflammation from ischemia
Enhanced recovery

The correct answer is: Intestinal inflammation from ischemia

One possible complication of bowel manipulation during open abdominal surgery is intestinal inflammation from ischemia. During surgical procedures, the bowel may be handled or repositioned, which can compromise blood flow to the intestinal tissues. When blood supply is reduced, the affected sections of the bowel may not receive adequate oxygen and nutrients, leading to ischemia. This condition can cause inflammation and possibly result in bowel necrosis if the ischemia is severe or prolonged. The inflammatory response can further complicate the surgical recovery by increasing the risk of infection, abscess formation, and other complications related to the gastrointestinal tract. It is essential for surgeons to minimize bowel manipulation and ensure proper blood flow during procedures to reduce this risk.