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': 'A wide mouth meckels diverticulum is found. accidently on laparotomy. what will be t/t of choice- \nSelect and explain. \nA. Resection of diverticulum, B. Leave as such, C. Ligate at base, D. Resection withpart of ileum', 'role': 'user'}, {'content': 'Answer: B \nExplanation: "A wide-mouthed, thin walled unattached diverticulum in an adult patient can probably quite safely be left alone." - Maingot\'s\nTreatment\n\nAny symptomatic Meckel\'s diverticula is resected (Diverticulectomy)\nThere are two techniques for excision of the diverticulum\nsimple excision\nresection with the segment of ileum containing the diverticulum and then reanastomosis.\n\nResection of ileum with reanastomosis is reserved for\n\npatients with peptic ulceration in the ileal mucosa\na gangrenous diverticulitis affecting the base of the diverticulum\nif the base of the diverticulum is inflamed or perforated\nin rare cases of malignant disease situated in Meckel\'s diverticulum.\n\nManagement of asymptomatic Meckel\'s diverticula found incidentally on laprotomy\n\nManagement is controversial and different books write differently.\xa0\xa0\xa0\xa0\nAccording to Maingot\'s\na wide-mouthed, thin walled Meckel\'s diverticulum without any attached band can be left. prophylactic diverticulectomy is done \xa0\nif the diverticula has a narrow base\nif there is any palpable thickening or adhesions suggestive of ectopic tissue.\nif there is any attachment either by bands to the umbilicus or by a mesodiverticular vascular strand.', 'role': 'assistant'}]