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Ex Lap

An exploratory laparotomy is a surgical procedure where a large incision is made into the abdomen to examine the internal abdominal organs. It is used as a diagnostic tool to determine the cause of abdominal pain or extent of injury from trauma. During the procedure, the surgeon can directly view the organs, remove tissue samples, and repair any damage found.

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279 views

Ex Lap

An exploratory laparotomy is a surgical procedure where a large incision is made into the abdomen to examine the internal abdominal organs. It is used as a diagnostic tool to determine the cause of abdominal pain or extent of injury from trauma. During the procedure, the surgeon can directly view the organs, remove tissue samples, and repair any damage found.

Uploaded by

rebeljerome
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Laparotomy, exploratory

Definition
A laparotomy is a large incision made into the abdomen. Exploratory laparotomy is used to visualize and examine the structures inside of the abdominal cavity.

Purpose
Exploratory laparotomy is a method of abdominal exploration, a diagnostic tool that allows physicians to examine the abdominal organs. The procedure may be recommended for a patient who has abdominal pain of unknown origin or who has sustained an injury to the abdomen. Injuries may occur as a result of blunt trauma (e.g., road traffic accident) or penetrating trauma (e.g., stab or gunshot wound). Because of the nature of the abdominal organs, there is a high risk of infection if organs rupture or are perforated. In addition, bleeding into the abdominal cavity is considered a medical emergency. Exploratory laparotomy is used to determine the source of pain or the extent of injury and perform repairs if needed. Exploratory laparotomy plays an important role in the staging of certain cancers. Cancer staging is used to describe how far a cancer has spread. A laparotomy enables a surgeon to directly examine the abdominal organs for evidence of cancer and remove samples of tissue for further examination. When laparotomy is used for this use, it is called staging laparotomy or pathological staging. Some other conditions that may be discovered or investigated during exploratory laparotomy include: cancer of the abdominal organs peritonitis (inflammation of the peritoneum, the lining of the abdominal cavity) appendicitis (inflammation of the appendix) pancreatitis (inflammation of the pancreas) abscesses (a localized area of infection) adhesions (bands of scar tissue that form after trauma or surgery) diverticulitis (inflammation of sac-like structures in the walls of the intestines) intestinal perforation ectopic pregnancy (pregnancy occurring outside of the uterus)

foreign bodies (e.g., a bullet in a gunshot victim) internal bleeding

POSITION
Place patient in supine position during the surgery.

ANESTHESIA USED
General anesthesia(almost always used) Local or spinal anesthesia(used in very ill patients)

BIBLIOGRAPHY: http://www.thirdage.com/encyclopedia/exploratory-laparotomy-abdominal-explorationlaparotomy-exploratory?page=1 http://www.surgeryencyclopedia.com/La-Pa/Laparotomy-Exploratory.html#b

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