Laparotomy
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Laparotomy is a surgical procedure that involves a surgeon making one large incision in the abdomen. Doctors use laparotomy to look inside the abdominal cavity to diagnose or treat abdominal health conditions.
Uses
Doctors may use laparotomy for a variety of reasons. It can help them diagnose or treat abdominal conditions, such as: abdominal pain, abdominal trauma, peritonitis, which is an inflammation of the inner lining of the abdomen, a perforated organ in the abdomen, infection in the abdomen, internal bleeding, the spread of conditions such as cancer or endometriosis, Females may have a laparotomy for a hysterectomy, which is the removal of the uterus, or for the removal of the ovaries or fallopian tubes.
Types
There are different types of incisions for laparotomy:
Midline: This incision runs down the middle of the abdomen. It is the standard Trusted Source incision for laparotomy. If people only need surgery for their upper abdomen, the incision will not run the whole length of the abdomen.
Paramedian: A Paramedian incision is a vertical cut that runs to one side of the midline. It allows a surgeon to access the kidneys and adrenal glands.
Transverse: A transverse incision is a horizontal cut. Surgeons may choose to use this approach because it can cause less damage Trusted Source to the nerves supplying the abdominal muscle, and it heals well.
Pfannenstiel: Surgeons may use a Pfannenstiel incision to access the pelvic region, such as in the case of an emergency cesarean delivery.
Subcostal: A subcostal incision is a diagonal cut across one side of the upper abdomen. A surgeon may use a subcostal incision to access the gallbladder or liver on the right side or the spleen on the left side.
Rooftop (chevron): If the surgeon makes a subcostal incision on each side of the body, the incisions may meet in the middle to make a rooftop incision.
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