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

On-Demand Re-laparotomy for Severe Peritonitis Has Benefits   -  Aug 21, 2007
By Judith Groch, Senior Writer, MedPage Today. AMSTERDAM, Aug. 21 -- In severe peritonitis, repeat laparotomy done only when the patient's condition demands ... MedPage Today

… Anesthetic Wound Infusion Following Laparotomy Effective For...   -  Sep 22, 2008
Although suboptimal postoperative pain control is associated with cardiovascular, respiratory and gastrointestinal complications, many multimodal regimens ... Medical News Today - Medical News Today (press release)

Hospital and HSE pay €400,000 over man's death   -  Nov 27, 2009
There he underwent a laparotomy, a surgical procedure involving an incision through the abdominal wall to gain access into the abdominal cavity. ... Irish Times

Laparoscopic Surgery Associated With Better Short-Term Quality of...   -  Mar 27, 2006
Laparoscopy candidates who required conversion to laparotomy had quality-of-life scores similar to patients who started out in the laparotomy group, ... DG News

Dispatch Online - Your premier Eastern Cape news site   -  Aug 18, 2005
They found that over a seven-month period surgeons at Jooste did an average of one emergency laparotomy - surgical entry into the abdominal cavity - a week ... Dispatch Online

FW put on ventilator   -  Jun 8, 2006
..."Today it was decided to perform a second laparotomy to eliminate the possibility of abdominal complications which can contribute to lung complications. ... News24

… management of endometrial cancer showed benefits over laparotomy   -  Nov 7, 2005
A chart review of 45 patients treated by laparoscopy between 1994 and 2002 and 136 patients treated by laparotomy between 2001 and 2002 was performed. ... Pay-Per-View - OBGYN & Reproduction Week - Factiva, from Dow Jones

… 14.5-Week Abdominal Pregnancy Without Laparotomy A Novel Approach …   -  Apr 1, 2008
We hypothesized that sonographically guided feticide without subsequent laparotomy for removal of the fetus and placenta could minimize potential blood loss ... Journal of Ultrasound in Medicine...

Benefits of Laparoscopic Surgery for Uterine Cancer   -  Mar 31, 2006
Laparotomy for Comprehensive Surgical Staging of Uterine Cancer" and "Quality ... 782 patients (524 laparoscopy and 258 laparotomy) who had participated in ...

Prior Laparotomy Should Not Preclude Use of Laparoscopic-Assisted …   -  May 9, 2009
By Bruce Sylvester. CHICAGO -- May 9, 2009 -- Previous laparotomy does not affect surgical outcomes or increase complications during laparoscopic-assisted ... DG News

… in ovarian cancer patients. A comparison with second look laparotom...   -  Sep 1, 2007
Correlating ultrasonography and laparotomy, high correlations were seen in patients with no residual disease (92.2%); on the other hand, ... Journal of Ultrasound in Medicine...

Laparotomy Key to Staging Neuroendocrine Cancer: Presented at ACS   -  Oct 20, 2008
By Roberta Friedman, PhD. SAN FRANCISCO -- October 20, 2008 -- Laparotomy is the best way to stage neuroendocrine cancers, as imaging misses many of the ... DG News

Is there an optimal surgical treatment for infants with perforated …   -  Aug 24, 2006
...(2006) Laparotomy versus peritoneal drainage for necrotizing enterocolitis and ... Eligible infants were randomly allocated to PPD or laparotomy. ...

… Shows Advantages Over Laparotomy for Benign Gynaecological …   -  May 8, 2009
By Bruce Sylvester. CHICAGO -- May 8, 2009 -- Robotic hysterectomy is an effective alternative to laparotomy for benign gynaecological conditions, ... DG News

Polar bear dies; plastic obstructed stomach   -  May 28, 2005
When his condition worsened, Zoo staff decided to do a laparotomy to identify the obstruction. Surgery revealed a piece of cloth and bits of plastic trash ... $2.95 - St. Louis Post-Dispatch - NewsBank

… anaesthetic wound infusion following laparotomy effective for...   -  Sep 19, 2008
New technique could eliminate inherited mitochondrial disease — [26 Aug 2009] — Researchers have developed an experimental technique with the potential to ... Science Centric

… done without consent? Did laparotomy consent cover appendectomy?( …   -  Feb 1, 2007
Did laparotomy consent cover appendectomy?(Medical Law Cases of Note) ... find Medical Law's Regan Report articles. CASE FACTS: On March 29, 1994, ... Pay-Per-View - Medical Law's Regan Report - HighBeam Research

… with intraluminal stenting through laparotomy after corrosive...   -  Jan 8, 2006
A midline laparotomy was carried out after achievement of general anesthesia. The abdominal esophagus, serosal surface of the stomach, and pylorus were ... European Journal of Cardio-Thoracic...

Is tacrolimus associated with fewer surgical complications than …   -  Jul 12, 2005
Mean time to first laparotomy was 14 days in the ciclosporin-treated ... Repeat laparotomy was associated with longer average hospitalization (44 days vs 29 ...

… done without consent? Did laparotomy consent cover appendectomy?( …   -  Feb 1, 2007
CASE FACTS: On March 29, 1994, Ann Holcomb was admitted to Baton Rouge General Regional Medical Center under the care of Drs. Jed Morris and Patrick Dial ... $4.95 - Medical Law's Regan Report - ECNext

Viewpoint: Necrotizing Enterocolitis -- Laparotomy or Peritoneal...   -  Aug 14, 2006
The study authors note that necrotizing enterocolitis (NEC) causes significant morbidity and mortality in premature and nonpremature newborns. ... Medscape

Adult Bochdalek hernia complicated with a perforated colon   -  Jul 11, 2005
In our case we repaired the hernia using left VATS and laparotomy, and postoperative recovery was uneventful. Perch P, Houck WV, DeAnda AJ. ... Journal of Thoracic and Cardiovascular... - The Journal of Thoracic and Cardiovascul...

Blast victim loses battle for life   -  Nov 9, 2009
She underwent the last surgery, laparotomy, on Saturday. Though Rabia Shah has died but the brave girl is credited with saving the life of two-year-old ... News International - The News International

Routine CT not cost effective prior to laparotomy.(Gynecology)   -  Jun 15, 2006
WASHINGTON -- Performing a routine CT scan before staging laparotomy in patients with endometrial cancer may be an unnecessary expense, regardless of the ... Free with registration - OB GYN News -

… rates similar for laparoscopy, laparotomy.(Women's Health) -...   -  Feb 15, 2005
Endometrial cancer survival rates similar for laparoscopy, laparotomy.(Women's Health) ... find Internal Medicine News articles. NEW YORK -- Survival rates ... Pay-Per-View - Internal Medicine News - HighBeam Research

Macon woman gets $10 million after doctors leave sponge inside her   -  Nov 30, 2007
The scan reportedly revealed a laparotomy sponge in Davis's abdomen. A second surgery was performed that same day to remove the sponge. ... $2.95 - Macon Telegraph - NewsBank

… over PRFA therapy if patients' conditions permit laparotomy   -  Nov 22, 2005
Keywords: Wuhan, People's Republic of China, Laparotomy, Embolization, Gastroenterology, Hepatocellular Cancer, Hepatocellular Carcinoma, Hepatology, ... Pay-Per-View - Life Science Weekly - Factiva, from Dow Jones

… Hepatic Malignancies: Laparoscopy or Laparotomy: Presented at ESSO   -  Dec 6, 2006
VENICE, ITALY -- December 6, 2006 -- Laparoscopic radiofrequency ablation (RFA) is preferable to open RFA by laparotomy for patients with hepatic ... DG News

Board accuses doctor who worked in Chico   -  Jul 12, 2009
During the operation, he switched to laparotomy, the accusation stated. It also claims he erred by ordering a drug, Levophed, which is to be used in only ... $2.95 - Chico Enterprise-Record - NewsBank

Laparotomy sponges, OR towels covered in Amerinet contract with AMD- …   -  Apr 1, 2006
Laparotomy sponges, OR towels covered in Amerinet contract with AMD-Ritmed.(GROUP PURCHASING)(Brief article) ... find Hospital Materials Management articles ... Pay-Per-View - Hospital Materials Management - HighBeam Research

Postoperative Colic Survival   -  Jan 18, 2005
These include recurrent colic, which might indicate that a horse is developing adhesions (OR=8.5), and repeat laparotomy, which causes additional surgical ...

Catholic leader's surgery a success Prostate cancer: Archbishop …   -  Nov 10, 2007
Chivers described the surgery as a "mini lap," also known as a mini-laparotomy, which requires a small incision in the abdomen. ... Pay-Per-View - Atlanta Journal-Constitution - NewsBank

Cystic Pathology Of The Abdominal Wall After Laparotomy: A Three-Case...   -  Aug 9, 2006
Cystic Pathology Of The Abdominal Wall After Laparotomy: A Three-Case Report Cystic Pathology Of The Abdominal Wall After Laparotomy: A Three-Case Report ... Subscription - Internet Journal of Surgery - EBSCO Publishing

Surgery for chronic pelvic pain   -  Jan 28, 2009
Laparotomy is a surgical procedure that is done by making an incision in the ... Many of the procedures that required a laparotomy in the past can now be ... WebMD

laparotomy | Definition of laparotomy | Online Dictionar...   -  Jul 12, 2006
Find out what laparotomy means: The Oxford American College Dictionary has the definition of laparotomy. Research related newspaper, magazine, ... Pay-Per-View - Oxford American College Dictionary - HighBeam Research

Surgical Devices; Favorable results reported on laparoscopic surgery...   -  Feb 1, 2005
Conventional AAA repair is performed with a large laparotomy wound and uses either a transperitoneal or retroperitoneal approach. ... Pay-Per-View - Science Letter - Factiva, from Dow Jones

Laparotomy sponges, OR towels covered in Amerinet contract with AMD- …   -  Apr 1, 2006
Amerinet in St. Louis has a new contract for sponges and towels. The contract took effect November 1, 2005, and is part of the Amerinet Choice program. $4.95 - Hospital Materials Management - ECNext

Surgical Alternatives to Hysterectomy   -  Jun 2, 2008
Laparotomy. Laparotomy uses a normal abdominal incision and conventional "open" surgery. It is used for subserosal or intramural fibroids that are very ... New York Times

Small bowel hemangioma diagnosed with laparoscopy: Report of two …   -  Jan 1, 2007
Diagnosis can be difficult and exploratory laparotomy has often proved to be the only ... The avoidance of an open laparotomy helps to reduce post-operative ... Free with registration - Journal of Minimal Access Surgery -

Re-Laparotomy And Parallel Vertical-Compression Sutures And …   -  Jul 1, 2006
Re-Laparotomy And Parallel Vertical-Compression Sutures And Prostaglandins For Massive Intraperitoneal Haemorrhage Following Caesarean Section For Placenta ... Subscription - Internet Journal of Gynecology and... - EBSCO Publishing

Two new studies reveal benefits of laparoscopic surgery for uterine …   -  Mar 24, 2006
Laparotomy for Comprehensive Surgical Staging of Uterine Cancer" and "Quality ... 782 patients (524 laparoscopy and 258 laparotomy) who had participated in ...

A case of chronic intestinal pseudo-obstruction secondary to primary ...   -  Mar 20, 2008
A diagnostic laparotomy was performed, which showed small-bowel volvulus with peritoneal ... If explorative laparotomy is performed, a full-thickness or ...

2 Procedures Equal for Preemie Bowel Complication   -  Apr 26, 2007
Laparotomy has been the standard surgical procedure for babies with ... The length of hospital stay was slightly less for the laparotomy group: 116 days vs. ...

Falsely elevated point-of-care lactate measurement after ingestion of...   -  Apr 10, 2007
Interpretation: We demonstrated how inappropriate laparotomy or delayed therapy might ... Although family consent was obtained for immediate laparotomy, ... CMAJ

Polyps in the colon and rectum (colonic and rectal polyps).(Adult...   -  Nov 1, 2006
If the polyp cannot be removed by colonoscopy, you may need a laparotomy or ... A laparotomy is a surgical procedure in which the abdomen is opened to ... $4.95 - Clinical Reference Systems - ECNext

Superior mesenteric vein thrombosis after colectomy in a patient with...   -  Mar 4, 2005
At laparotomy, the jejunum was noted to be fixed over the right subhepatic space by an adhesion; extreme venous congestion of the small bowel distal to 150 ...

Extrahepatic Bile Duct Cancer   -  Jul 31, 2008
Extrahepatic bile duct cancer is usually staged following a laparotomy. ... The results of the diagnostic imaging tests, laparotomy, and biopsy are viewed ... WebMD

Critical Care; Data on critical care discussed by researchers at...   -  Nov 7, 2006
Although damage control laparotomy is associated with a significant complication and readmission rate, its long term survival and benefit is indisputable. ... Pay-Per-View - Life Science Weekly - Factiva, from Dow Jones

Laparoscopy gets qualified nod in uterine cancer.(Gynecologic Surgery)   -  May 1, 2006
Compared with laparotomy, the laparoscopy technique resulted in a shorter ... Complete surgical staging occurred in 86% of patients in the laparotomy group ... Free with registration - OB GYN News -

New York Miscellaneous Reports - GERMAIN v. McMILLAN, 22521/07 (9- …   -  Sep 8, 2009
A CT scan was then conducted, showing a laparotomy pad ring and marker strip in ... The complaint further asserts that leaving the laparotomy pad in her ... Pay-Per-View - New York Miscellaneous Reports - Loislaw

Intensified dose of cyclophosphamide with G-CSF support versus …   -  May 23, 2007
Those patients who were in complete clinical and serological response at the end of chemotherapy were submitted to a second-look laparotomy. ...

Long-distance air medical transport of extremely low birth weight...   -  Feb 28, 2008
4 had an exploratory laparotomy and was diagnosed with gastric outlet obstruction. ... It is unknown whether simple PD or laparotomy (and likely intestinal ...

Less-invasive uterine cancer treatment   -  Apr 19, 2006
Laparotomy for Comprehensive Surgical Staging of Uterine Cancer" and "Quality of Life of Patients with Endometrial Cancer Undergoing Laparoscopic FIGO ...

A Unique Case of Recurrent Metachronous Volvulus of the …   -  Jan 2, 2009
However, any evidence of gangrene should lead to emergency laparotomy and resection of the bowel segment that appears necrotic. ... Archives of Surgery

Ovarian Tumors; Research revealed type of surgical access not related...   -  Nov 14, 2005
P. Desfeux and colleagues "compared patients initially managed by laparoscopy vs. laparotomy in terms of potentially harmful procedures and quality of ... Pay-Per-View - OBGYN & Reproduction Week - Factiva, from Dow Jones

Tubal Ligation – Permanent Birth Control for Women   -  Dec 31, 2007
A laparotomy is an “open? tubal ligation that is done through a large ... A postpartum tubal ligation is a mini-laparotomy performed within 1-2 days after ... HealthNews

Long-term results of ascending aorta-abdominal aorta extra-anatomic …   -  Jan 13, 2008
Following these principles, surgery is performed via median sternotomy extended into the epigastrium with a supra-umbilical laparotomy through the mid-line ... European Journal of Cardio-Thoracic...

The value of post-chemotherapy surgery for residual disease in...   -  Oct 1, 2006
Laparotomy for post chemotherapy residue in ovarian germ cell tumors. J Postgrad Med 2006;52:262-5. 2. Williams SD, Blessing JA, DiSaia PJ, Major FJ, ... Free with registration - Journal of Postgraduate Medicine -

Resection and Primary Anastomosis Is a Valid Surgical Option for...   -  Jan 31, 2005
Intervention For infants requiring laparotomy and intestinal resection, ... A total of 35 infants underwent primary laparotomy (including an ... Archives of Surgery

New York Miscellaneous Reports - RUFFIN v. N. SHORE UNIV. HOSP. …   -  Feb 24, 2009
Dr. Taff explained to plaintiff that an exploratory laparotomy would be necessary to investigate and repair the left ureteral obstruction, ... Pay-Per-View - New York Miscellaneous Reports - Loislaw

The CA125 antigen level as a prognostic versus a predictive test in …   -  Jul 10, 2007
Treatment consisted of primary laparotomy and first-line chemotherapy that comprised six courses ... A second-look laparotomy was performed in 194 patients. ...

Intracardiac leiomyomatosis: iliac vein to right-ventricular outflow...   -  Dec 2, 2005
In our patient, exploratory laparotomy was performed without evidence of ... The chest and laparotomy incisions were then closed in a routine fashion. ...

Illinois Appellate Court Reports - WILLABY v. BENDERSKY, 383 Ill....   -  Jun 25, 2008
A laparotomy sponge was left in Willaby's abdomen following surgery to repair an ... The sponge* like all laparotomy sponges, contained a radiopaque tail ... Pay-Per-View - Illinois Appellate Court Reports - Loislaw

Robotic surgery may be effective for endometrial cancer staging.( …   -  Jul 1, 2009
NEW ORLEANS -- Robotic-assisted laparoscopy appears to be a safe and effective, minimally invasive alternative to traditional laparotomy for treating and ... Pay-Per-View - OB GYN News - HighBeam Research

Ectopic Pregnancy - Surgery   -  May 21, 2009
Both salpingostomy and salpingectomy can be done either through a small incision using laparoscopy or through a larger open abdominal incision (laparotomy). ... WebMD

Surviving Uterine Torsion   -  Jul 6, 2007
Flank laparotomy is associated with improved foal survival at less than 320 days of gestation. If the mare is carrying a live foal at hospital discharge ...

FAST (Focused Assessment With Sonography in Trauma) Accurate for …   -  Feb 1, 2008
This prompted necessary laparotomy in all 8. Conclusions. ... Intraperitoneal injuries found at laparotomy for the 8 patients with IP fluid included 5 ... Journal of Ultrasound in Medicine...

Stop! You CAN get pregnant during your period   -  Mar 21, 2009
These affect about 11 per cent of women after mini-laparotomy, and 6 per cent of women after laparoscopy. Major complications include heavy blood loss, ... Trinidad & Tobago Express

Discharge outcomes of extremely low birth weight infants with …   -  Dec 1, 2005
Of these, 17 proceeded to require an open laparotomy during their hospitalization. There were two separate infants whose initial procedure was a laparotomy. ...

Antibiotic prophylaxis; anti-adhesion membrane use in pediatric...   -  Feb 1, 2006
Adhesions generally may occur after laparotomy and may result in serious ... Pediatric patients who underwent laparotomy (n = 122) at a university hospital ... $4.95 - AORN Journal - ECNext

Obstetrics; Findings from Scotland, Canada and the United States in …   -  Nov 6, 2006
..."Of the 235 patients, general anesthesia was employed for laparotomy in 137 and ... "Regional anesthesia for laparotomy was administered on 71 occasions." ... Pay-Per-View - OBGYN & Reproduction Week - Factiva, from Dow Jones

Postpartum hemoperitoneum due to avulsion of pelvic uterine adhesion ...   -  Nov 1, 2006
At laparotomy, a fibrous band between the right fallopian tube and uterus was found ... An emergent laparotomy was performed. During the laparotomy, small ... $4.95 - Southern Medical Journal - ECNext

Ovarian Cyst Medications Do Not Work In The Long Run   -  Aug 2, 2008
Whether the incision is small (ie Laparoscopy) or large (ie Laparotomy), ... Laparotomy, on the other hand, might have to be used if the cysts are too large ... Buzzle

Laparoscopy for Endometrial Cancer May Be Advisable   -  Jul 25, 2006
The researchers report that conversion to laparotomy from laparoscopy ... They observed positive or suspicious cytology in 5.6% of laparotomy and 7.8% of ... Medscape

Pelvic actynomyces infection: report of two cases occurred in the...   -  Jan 1, 2006
The laparoscopic procedure was converted into a laparotomy due to the finding of ... The following are the findings from the exploratory laparotomy: uterine ... Free with registration - Infectious Diseases in Obstetrics and... -

Value of preoperative serum CA 19-9 levels in predicting resectability...   -  Aug 1, 2006
...(1) Approximately 25% of patients who undergo laparotomy will have unresectable tumours. (3,4). CA 19-9 has been proposed as a useful marker for pancreatic ... Free with registration - Canadian Journal of Surgery -

Nonoperative management of penetrating abdominal trauma.(Medical …   -  Jul 1, 2006
Selective nonoperative management is practiced routinely for blunt abdominal trauma, but in most institutions laparotomy is still considered the standard of ... Free with registration - JAAPA-Journal of the American Academy... -

Ovarian Cysts Following The Menopause: Factors, DANGERS and …   -  Jul 15, 2008
To be completely sure it is necessary to do a full laparotomy and staging procedure, even though it is well to be suspicious of the possible malignancy of ... Buzzle

Hoag Memorial, St. Jude Medical Center, Fullerton, and Western...   -  Jan 28, 2010
An operative report dated 3/24/09 documented Patient #1 had undergone an exploratory laparotomy under general anesthesia with removal of a retained ...

The medical-surgical nurse's guide to ovarian cancer: Part II.(Cancer:...   -  Oct 1, 2007
The most common surgical procedures performed for ovarian cancer include an initial staging laparotomy and a second-look laparotomy. ... $4.95 - MedSurg Nursing - ECNext

'Mass' removed by surgeon was patient's kidney.(Medical Law Case of …   -  Jul 1, 2005
Dr. Black elected to convert the procedure into an open laparotomy. When Dr. Black palpated the retroperitoneum through the surgical opening, ... $4.95 - Medical Law's Regan Report - ECNext

Endometriosis In-Depth Report   -  Jan 15, 2009
Laparotomy uses a wide abdominal incision and conventional surgical instruments. ... Laparotomy is rarely performed except in cases of severe endometriosis. ... New York Times

Mississippi Reports - UNIV. OF MS MEDICAL CENTER v. PEACOCK, …   -  Oct 9, 2007
Dr. Sykes testified that because a laparotomy was not performed, ... He dismissed Dr. Borman's reluctance to perform a laparotomy because of the positive ... Pay-Per-View - Mississippi Reports - Loislaw

Postpartum hemoperitoneum due to avulsion of pelvic uterine adhesion ...   -  Nov 1, 2006
At laparotomy, a fibrous band between the right fallopian tube and uterus was found ... An emergent laparotomy was performed. During the laparotomy, small ... Pay-Per-View - Southern Medical Journal - HighBeam Research

Paradoxical inflammatory reaction to Seprafilm: case report and...   -  Oct 1, 2005
At laparotomy, extensive adhesions necessitating bowel resection and ileostomy ... At laparotomy, she was found to have extensive, dense adhesions involving ... $4.95 - Southern Medical Journal - ECNext

Study participants will be sampled from women undergoing diagnostic/therapeutic laparoscopy or laparotomy. To ensure sufficient power to detect differences ... Pay-Per-View - FedBizOpps - Factiva, from Dow Jones

Adhesiolysis carries highest risk of adhesion-related readmission.( …   -  May 15, 2005
The SCAR-2 study, which assessed only gynecology patients, found similar risks of ARR within the first 4 years of either laparotomy or laparoscopy, ... Pay-Per-View - OB GYN News - Factiva, from Dow Jones

Alabama Case Law - BLACK v. COMER, 920 So.2d 1083 (Ala. 2005)   -  Jul 15, 2005
After Dr. Black performed a laparotomy on Comer, Comer sued Dr. Black, stating claims ... Dr. Black elected to convert the procedure to an open laparotomy. ... Pay-Per-View - Alabama Case Law - Loislaw

Clinical outcome and risk factors for recurrence in borderline...   -  Feb 13, 2006
Frequency of recurrence was not influenced by clinical stage, staging laparotomy, and postoperative adjuvant chemotherapy (Table 2). ...

Use of Recombinant Factor VIIa in Infants with Severe Coagulopathy   -  May 1, 2007
She underwent an exploratory laparotomy, which revealed total colonic necrosis requiring total abdominal colectomy. She received 115 cc/kg of packed red ...

Impact of surgical access on staging of early borderline and invasive...   -  Dec 6, 2005
By univariate analysis, bilateral adnexectomy and, to a lesser extent, age > 44 years, laparotomy, hysterectomy, and treatment after 1995 predicted at least ...

Laparoscopic Surgery for Cancer: Historical, Theoretical, and...   -  Jul 1, 2006
48] Laparotomy promotes stress-induced reduction in NK cell activity in humans for several days[49]; this altered immune surveillance is linked to outbreaks ... Psychiatric Times

The Nassau Guardian -   -  Nov 26, 2007
Laparotomy surgery is the traditional open knife entry into the abdomen. In most instances with Laparotomy or Laparoscopy, the actual operation performed is ... Nassau Guardian

MRI Technique Helps Track Ovarian Cancer Therapy   -  May 24, 2005
Sixty-eight women had residual tumor at laparotomy and biopsy or at clinical ... Laparotomy showed residual tumor in 60 patients, with a sensitivity of 88% ...

OVARIAN CANCER   -  May 11, 2006
An operation called a laparotomy is done for almost all patients to find out the ... The staging laparotomy is very important because the stage of disease ...

Liver and Skeletal Muscle Lipids Have Differing Fatty Acid Profiles...   -  Jan 15, 2006
Methods: Sprague-Dawley rats underwent laparotomy and massive small bowel ... Midline laparotomy in the short-gut rats allowed near-complete small bowel ... RedOrbit

Clinical: Expert Opinion - Managing ectopic pregnancy.(Column)   -  Jun 22, 2007
Laparotomy is only indicated for patients who are haemodynamically unstable. ... Laparoscopy and laparotomy have similar complication rates and that there ... Free with registration - GP -

Influence of obesity on the short-term outcome of laparoscopic...   -  Jul 1, 2007
Patient characteristics, such as age, gender, tumor location, previous laparotomy, were similar among the three groups. There were no significant ... Free with registration - Journal of Minimal Access Surgery -

Chylous Ascites After Nephrectomy for Trauma   -  Jan 15, 2005
We present a case of chylous ascites after laparotomy for trauma and review the pathophysiology, etiology, diagnosis, and treatment options for this ... RedOrbit

Counting miscellaneous items; counting during organ procurement; …   -  Jan 1, 2006
Only the instruments to be used in the laparotomy were counted; ... I believe the laparotomy instruments should not have been opened until the instruments ... Free with registration - AORN Journal -

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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