Laparotomy

This page contains recent news articles, when available, and an overview of Laparotomy but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.

News: Laparotomy

10-Q: MEDICAL ACTION INDUSTRIES INC  -  06 Feb 2009
MarketWatch (press release)...termination provisions within one of its GPO agreements, under which the Company supplies disposable operating room towels and laparotomy sponges.

The Wounds of Gaza  -  Feb 4, 2009
Palestine Think Tank,Surgeons from hospitals are also reporting cases where after primary laparotomy for relatively small wounds with minimal contamination find on second look

Diary of a nameless, faceless egg donor, Jennifer Lahl interviews ...  -  Feb 4, 2009
Proud ParentingThey did an exploratory laparotomy and flipped through my intestines several times before they found the small but gushing bleeder, and cauterized it.

Preventing Adhesions in Gynaecologic Surgery  -  Jan 29, 2009
OR-Live,It is intended for audiences outside the United States where SprayShield™ has CE Mark approval, and is indicated for patients undergoing laparotomy or

Some MDs Still "In the Dark Ages" On Exponential Advances in ...  -  Feb 5, 2009
Emediawire (press release),...to the number of cases that a doctor has to convert from a tiny incision to an "open" procedure--or larger incision (the bikini incision or laparotomy).

Court is told attack victim came close to losing his life  -  Jan 21, 2009
Press and Journal,Mr Cole also performed a laparotomy on his abdomen to find out if there was any serious internal damage. When asked the length of the cut he made to Mr

Duplicationcyst of pyloroduodenal canal: a rare cause of neonatal ...  -  Jan 12, 2009
7thSpace Interactive (press release),A laparotomy, a tense cystic mass was present at the pyloroduodenal junction (PDC) which was resected and end to end anastomosis was done.

Traumatic Diaphragmatic Rupture with Intrathoracic Liver Herniation  -  Jan 28, 2009
New England Journal of Medicine (subscription),The patient underwent laparotomy, at which time the liver was reduced into the abdomen and the diaphragm was repaired. The patient subsequently improved and

A Rare Cause of Recurrent Gastrointestinal Bleeding: Mesenteric ...  -  Jan 29, 2009
7thSpace Interactive (press release),An intraluminal bleeding mass inside the small intestinal segment was detected during explorative laparotomy as the cause of the recurrent lower

Surgery to check for ovarian cancer  -  Jan 21, 2009
guardian.co.uk,During standard surgery (laparotomy), your surgeon makes a large cut in your abdomen to look at your ovaries. Your surgeon will probably choose which type

Terror victim Martine Wright is expecting a baby on the day she ...  -  Jan 31, 2009
News of the World,After the blast she also had to have a laparotomy, where surgeons made an incision in her tummy to check her vital organs were functioning properly.

What's the evidence for surgery to remove your fibroids?  -  Jan 21, 2009
guardian.co.uk,Early outcome of myomectomy by laparotomy, minilaparotomy and laparoscopically assisted minilaparotomy: a randomized prospective study. Human Reproduction.

Cerebrovascular response to continuous cold perfusion and ...  -  Jan 30, 2009
The Journal of Thoracic and Cardiovascular SurgeryThe rate was adjusted to maintain urine output greater than 0.5 mL/kg/h and MAP between 55 and 70 mm Hg. A mini-laparotomy was performed for bladder

Oman’s First International Trauma Conference Opens  -  Jan 28, 2009
Khaleej Times,Topics being discussed include ‘Current diagnostics and treatment of abdominal trauma’, ‘Crash laparotomy’; ‘Hypotensive resuscitation’;

Chronic subacute bowel obstruction caused by carcinoid tumour ...  -  Jan 22, 2009
7thSpace Interactive (press release),This ileal lesion was removed at laparotomy and identified as a carcinoid tumour. Conclusion: This case highlights the issue of misdiagnosis of intestinal

Feasibility of laparoscopy for small bowel obstruction  -  Jan 19, 2009
7thSpace Interactive (press release),...non-median previous laparotomy, appendectomy as previous surgical treatment causing adherences, unique band adhesion as phatogenetic meccanism of small

A colonic splenic flexure tumour presenting as an empyema thoracis ...  -  Jan 13, 2009
7thSpace Interactive (press release),A laparotomy was carried out at which point a tumour of the splenic flexure of the colon was found to be invading the spleen and locally perforated with

Dr. Victor Manuel Lara Velez, coordinator of medical studies at ...  -  Jan 16, 2009
Guadalajara Reporter (subscription),...to perform minor open-and-close surgeries, how to fix an artery, how to perform laparotomy, how to manage hemorrhaging, and how to manage anesthetic.

Your neighbors  -  Dec 25, 2008
Providence Journal,...recently for their accomplishment, removal of a 3200 gram (approximately 7 pound) uterus without resorting to laparotomy (cutting the patient open).

Heterotopic pregnancy following ovulation induction by Clomiphene ...  -  Dec 17, 2008
7thSpace Interactive (press release),If they continue without diagnosis, a life-threatening situation may occur even when surgical intervention with laparotomy is performed.

Should Intestinal Obstruction Be Managed Laparoscopically?  -  Dec 15, 2008
MedscapeSeventeen percent of the laparoscopic group required conversion to an open laparotomy. The data from this study indicate that most surgeons prefer an open

Mesenteric panniculitis with pedal edema in a 33-year-old ...  -  Dec 4, 2008
7thSpace Interactive (press release),The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove

Early Diagnosis of Ectopic Pregnancy Enhanced by hCG Ratio of ...  -  Dec 21, 2008
IVF NEWS.Direct!,Venous serum and peritoneal serum samples were taken from 103 subjects who underwent laparoscopy or laparotomy with hemoperitoneum and positive urine hCG

Testosterone-Secreting Mature Ovarian Teratoma Causing Severe ...  -  Dec 23, 2008
Journal of Ultrasound in Medicine (subscription)The patient underwent an exploratory laparotomy, a left salpingo-oophorectomy, and an appendectomy. The cystic mass, which weighed 2390 g, contained a tooth

Gallbladder Surgery, Hernia & Anti Reflux Specialty Services from ...  -  Dec 23, 2008
PR UrgentHis other services include laparotomy, laparoscopic & open appendicectomy, splenectomy and hernia repair.

Ipsilateral common iliac artery plus femoral artery clamping for ...  -  Dec 22, 2008
7thSpace Interactive (press release),Sham-operated animals underwent only laparotomy without induction of ischemia. Just before euthanasia, behavioral scores (based on gait, grasp, paw position

Sclerosing mesenteritis affecting the small and the large ...  -  Dec 17, 2008
7thSpace Interactive (press release),A laparotomy was performed through a midline incision. The mesentery resembled a tumour-like thickened and fibrotic mass. Abundant, rigid intestinal loop

Gastric outlet obstruction caused by a giant gastric trichobezoar ...  -  Dec 16, 2008
7thSpace Interactive (press release),An exploratory laparotomy was conducted. A giant richobezoar was palpated in the stomach and was removed through an anterior gastrostomy.

National Outcomes for the Treatment of Ruptured Abdominal Aortic ...  -  Dec 9, 2008
Cardiosource,Patients do not undergo an exploratory laparotomy and do not really sustain the ischemia-reperfusion associated with OAR. The problem with most studies

Post partum haemorrhage secondary to uterine atony, complicated ...  -  Dec 14, 2008
7thSpace Interactive (press release),Aggressive medical management and B lynch sutures at laparotomy failed to contract the uterus. Hysterectomy was therefore performed.

READERS RESPOND  -  Dec 2, 2008
Journal of American Medical Association (subscription),She underwent a myomectomy via laparotomy of multiple fibroids and, initially, her symptoms resolved. About 1 year later, however, they returned,

Torsion of a normal ovary in the third trimester of pregnancy: a ...  -  Dec 8, 2008
7thSpace Interactive (press release),Laparotomy revealed, however, that the right ovary was gangrenous and had undergone torsion. Conclusions: Adnexal torsion, though rare, should be kept in

Intrathoracic drainage of a perforated prepyloric gastric ulcer ...  -  Dec 8, 2008
7thSpace Interactive (press release),An emergency upper midline laparotomy was performed and a perforated pre-pyloric gastric ulcer was treated with an omental patch repair.

Researchers unveil local herbs for hastening childbirth  -  Dec 10, 2008
The Guardian - Nigeria,However, laparotomy (a large incision made into the abdomen) on day 23 revealed fetal death in utero. The extract was also found to have oestrogenic

Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern ...  -  Nov 7, 2008
7thSpace Interactive (press release),All patients were resuscitated underwent emergency exploratory laparotomy, on laparotomy cause of perforation peritonitis was found and controlled.

Jim Booker Estate Files Wrongful Death Lawsuit  -  Nov 3, 2008
Du Quoin Evening Call,...the cause of the patient’s worsening symptoms up to and even after the exploratory laparotomy performed by Dr. Donald Scott Crouch, MD on November 5 d.

Two 'Huddle' lectures on football Saturdays remain  -  Nov 11, 2008
Penn State Live,These technological advances have changed the way surgeons diagnose and treat diseases and have all but eliminated the traditional exploratory laparotomy,

Hua Tuo, A Miraculous Healer in Ancient China  -  Nov 9, 2008
The Epoch Times,He was the first surgeon to perform a laparotomy in Chinese medical history. To alleviate pain for his patients, he formulated an anesthetic mixture,

Experience with adjuvant chemotherapy for pseudomyxoma peritonei ...  -  Nov 11, 2008
7thSpace Interactive (press release),He underwent laparotomy under the impression of pseudomyxoma peritonei. There was a lot of mucinous ascites, one appendiceal tumor and multiple peritoneal

War Surgery in Afghanistan and Iraq: A Series of Cases, 2003-2007  -  Nov 4, 2008
Journal of American Medical Association (subscription),This term was borrowed by trauma practitioners and was used first by Rotondo et al 1 to describe abbreviated laparotomy in patients who are hemodynamically

Trichobezoar presenting with the comma signin Rapunzel Syndrome: a ...  -  Oct 30, 2008
7thSpace Interactive (press release),At laparotomy, the stomach and third part of the duodenum were distended and contained a large mass of dark, foul-smelling hair that occupied the stomach,

Multiple Fibroid Removed Laparoscopically for Patient of USA  -  Oct 26, 2008
PR-Inside.com (Pressemitteilung),Previously it was removed by a "Laparotomy" operation (cutting open the stomach). Now, fibroids can be removed very easily and safely by Endoscopic

Is local anesthetic wound infusion following laparotomy effective ...  -  Sep 19, 2008
EurekAlert (press release),There is a need for a focused, quantitative review of the evidence specific to colorectal laparotomy. A research article to be published on September 14,

Local anaesthetic infusion may improve pain control following ...  -  Sep 24, 2008
AnaesthesiaUK,The authors conclude that local anaesthetic wound infusion following laparotomy for major colorectal surgery is a promising technique but that there is a

Baby Who Grew in Mom's Abdomen Thriving  -  Sep 2, 2008
FOXNewsIt took a team of 36 doctors and a procedure known as a laparotomy – which opens the abdomen — to safely deliver little Billy who weighed in at 2 pounds,

REMINDER: OR-Live.com Presents: Surgical Tutorial on Complex da ...  -  Sep 19, 2008
PR-CANADA.net (press release),Risk factors for conversion to laparotomy during gynecologic laparoscopy. J Am Assoc Gynecol Laparosc. 2003 Nov;10(4):469-73. (3) Payne, T., Dauterive,

What is the clinical features of primary aortoenteric fistula?  -  Sep 24, 2008
EurekAlert (press release),...absence of identifiable bleeding lesions on initial gastrointestinal endoscopy is regarded by clinicians as a strong indicator for laparotomy.

Radiofrequency Ablation for Unresectable Tumors of the Liver ...  -  Aug 29, 2008
RedOrbit,Application of RFA has been described by open laparotomy, laparoscopically, and as a percutaneous procedure with either CT or ultrasound guidance.

Atypical Presentation of a Retrorectal Ancient Schwannoma: A Case ...  -  Sep 14, 2008
RedOrbit,The patient underwent an exploratory laparotomy with resection of the tumor, which subsequent analysis showed to be a schwannoma with ancient degenerative

Low grade epithelial stromal tumour of the seminal vesicle: a case ...  -  Sep 23, 2008
7thSpace Interactive (press release),In our case magnetic resonance imaging was able to avoid an exploratory laparotomy and to establish an accurate conservative surgical treatment of the

Intra-Abdominal Sepsis Following Pancreatic Resection: Incidence ...  -  Aug 29, 2008
RedOrbit,Four of these six had Whipple procedures and required repeat laparotomy for severe sepsis before postoperative day 6 (including two with Class C fistulas).

Glutamine: More Evidence, More Promise  -  Sep 4, 2008
RedOrbit,Although enteral access can be safely obtained during laparotomy and successfully used for postoperative enteral nutrition,1 operative therapy occurs weeks

HEALING SCARS ON THE INSIDE  -  Sep 14, 2008
WPTV,A SWEET RELIEF: Today, there is a new product that helps with prevent adhesion formation in patients who have abdominal or pelvic laparotomy.

Cameroon: Health Ministry Gets UNFPA Material Worth Over FCFA 250 ...  -  Sep 11, 2008
AllAfrica.com,UNFPA also provided reproductive health kits for caesarean section, delivery, episiotomy and mini-laparotomy kits, traditional birth attendant kits and

Cysticlymphangioma of the lesser sac presenting as acute ...  -  Sep 10, 2008
7thSpace Interactive (press release),At laparotomy, a large fluid filled cystic lesion was observed occupying the right side of the abdominal cavity. The lesion was excised in its entirety and

High Growth Forecasted for the World Endoscopy Systems Market  -  Sep 5, 2008
PR-CANADA.net (press release),...of Gallstone Disease II-25 Cholecystocolic Fistula II-25 Mini-Laparotomy Cholecystectomy II-26 Diaphragmatic Injury II-26 Eosinophilic Gastroenteritis

Gastrointestinal stromal tumor of the stomach with lymph node ...  -  Sep 5, 2008
7thSpace Interactive (press release),Enlarged periantral LNs were detected during laparotomy and patient underwent distal gastrectomy with en bloc perigastric LN dissection.

Carbohydrate Supplementation Before Operation Retains Intestinal ...  -  Aug 31, 2008
RedOrbit,During the experiment, the rats were maintained at 37[degrees]C. The operation was a laparotomy followed by clamping of the superior mesenteric artery for

Invited Commentary: Zollinger-Ellison Syndrome: A Personal Perspective  -  Aug 29, 2008
RedOrbit,In my experience, a midline laparotomy provides excellent exposure. A wide Kocher maneuver is performed. The lesser sac should be entered.

Miracle baby Billy grew outside his mother's womb  -  Aug 30, 2008
Mail on Sunday,When Billy was born at Derriford Hospital, Plymouth, on April 19, ten days after the scan revealed the truth about the pregnancy, the laparotomy which

Efectividad de técnicas quirúrgicas para el cáncer de colon  -  Sep 2, 2008
Intramed.net (Suscripción),Laparotomy enhances intraperitoneal tumour growth and abrogates the antitumour effects of interleukin-2 and lymphokine-activated killer cells. Surgery.



Background information on Laparotomy [When available]

A laparotomy is a surgical maneuver involving an incision through the abdominal wall to gain access into the abdominal cavity. It is also known as coeliotomy.

In a diagnostic laparotomy, the nature of the disease is unknown, and laparotomy is deemed the best way to identify the cause. In therapeutic laparotomy, a cause has been identified (e.g. peptic ulcer, colon cancer) and laparotomy is required for its therapy. Usually, only diagnostic laparotomy is referred as a surgical operation by itself; and when a specific operation is already planned, laparotomy is considered merely the first step of the procedure.

Depending on incision placement, it may give access to any abdominal organ or space, and is the first step in any major diagnostic or therapeutic surgical procedure of these organs, which include:
  • the lower part of the digestive tract (the stomach, duodenum, jejunum, ileum and colon)
  • the liver, pancreas and spleen
  • the bladder
  • the female reproductive organs (the uterus and ovaries)
  • the retroperitoneum (the kidneys, the aorta, abdominal lymph nodes)
The most common incision for laparotomy is the midline incision, a vertical incision which follows the linea alba. The upper midline incision usually extends from the from the xiphoid process to the umbilicus, while a typical lower midline incision is limited by the umbilicus superiorly and by the pubic symphysis inferiorly. Sometimes a single incision extending from xiphoid process to pubic symphysis is employed, especially in trauma surgery. Midline incisions are particularly favoured in diagnostic laparotomy, as they allow wide access to most of the abdominal cavity.

Other common laparotomy incisions include:
  • the Kocher (right subcostal) incision (after Emil Theodor Kocher); appropriate for operations on the liver, gallbladder and biliary tract;
  • the Davis or Davis-Rockey "muscle-splitting" right lower quadrant incision for appendectomy;
  • the Pfannenstiel incision, a transverse incision below the umbilicus and just above the pubic symphysis, most often employed for cesarean section;
  • Lombotomy consists of a lumbar incision which permits access to the kidneys (which are retroperitoneal) without entering the peritoneal cavity. It is a common operative approach in renal surgery.
A related procedure is laparoscopy, where cameras and other instruments are inserted into the peritoneal cavity via small holes in the abdomen. For example, an appendectomy can be done either by a laparotomy or by an laparoscopic access.

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