This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Burst abdomen after laparotomy takes place after \nSelect and explain. \nA. 1-2 days, B. 7-10 days, C. Usually after 3 weeks, D. After one month', 'role': 'user'}, {'content': 'Answer: B \nExplanation: .BURST ABDOMEN (Abdominal Dehiscence) \n\nIt is the disruption of a laparotomy wound, occurring usually between 5th and 8th postoperative day. \nUsually, sutures opposing the deep layers, i.e. peritoneum and rectus sheath tear through, causing a burst abdomen. Treatment\xa0\xa0 \nNasogastric aspiration.\xa0 \nIV fluids. \nEmergency surgery, i.e. Under anaesthesia, the wound is opened up properly.\n\nCoils of intestines are replaced into the abdominal cavity. \nA thorough wash is given. The wound is closed by all layer sutures, passing a non-absorbable suture material through the red rubber or plastic collar — tension sutures.\n(which is kept for 14 days).\n\nAntibiotics and IV fluids are continued.\nWound usually heals well without much second dehiscence. \n\nThe late problem, maybe the development of an incisional hernia', 'role': 'assistant'}]