Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a preoperative consideration for a myocutaneous flap procedure?

1. Surgery can proceed regardless of nutritional status

2. Delay surgery until the patient has a positive nutritional status

3. Administer anticoagulants before surgery

4. Ensure the patient has been fasting for 12 hours

The correct answer is: Delay surgery until the patient has a positive nutritional status

The correct consideration for a myocutaneous flap procedure involves delaying surgery until the patient has achieved a positive nutritional status. Adequate nutrition is critical for wound healing, immune function, and overall recovery, especially after surgical procedures involving complex tissue manipulation such as myocutaneous flaps. A positive nutritional status typically means that the patient has achieved a balance of essential nutrients, including proteins, vitamins, and minerals, which are vital for tissue regeneration and healing. If a patient has malnutrition or is at risk of nutritional deficiency, proceeding with surgery could lead to complications such as poor wound healing, increased risk of infection, and longer recovery times. In light of this, while surgery might in theory be able to proceed regardless of nutritional status, doing so would not align with best practices in patient safety and outcomes. Similarly, although fasting is a standard preoperative requirement for many surgical procedures, it doesn't specifically pertain to the unique needs of myocutaneous flap surgeries. Administering anticoagulants before surgery would be counterproductive if not indicated, as this could increase the risk of bleeding during surgery. Therefore, the emphasis on achieving a positive nutritional status prior to surgery is paramount for optimal outcomes in a myocutaneous flap procedure.