(Abdominal Exploration; Laparotomy, Exploratory)
This is an open surgery of the abdomen to view the organs and tissue inside.
Abdominal Organs, Anterior View
Reasons for Procedure
This procedure is done to evaluate problems in the abdomen.
Problems that may need to be examined with an exploratory laparotomy include:
Complications are rare, but no procedure is completely free of risk. If you are planning to have a laparotomy, your doctor will review a list of possible complications, which may include:
- Blood clots
- Damage to organs
- Hernia formation
- Large scars
- Reaction to the anesthesia
Some factors that may increase the risk of complications include:
- Previous abdominal surgery
- Heart or lung disease
- Weak immune system
- Blood disorders
- Taking certain medicines
- Smoking, alcohol abuse, or drug use
Be sure to discuss these risks with your doctor before the procedure.
What to Expect
Prior to Procedure
Leading up to your procedure:
- Your doctor may perform the following:
- Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Arrange for a ride home.
- The night before, eat a light meal. Unless told otherwise by your doctor, do not eat or drink anything after midnight.
Description of the Procedure
The doctor will make one long incision in the skin on your abdomen. The organs will be examined for disease. The doctor may take a ]]>biopsy]]>. If the problem is something that can be repaired or removed, it will be done at this time. The opening will be closed using staples or stitches.
How Long Will It Take?
About 1-4 hours
How Much Will It Hurt?
Anesthesia will prevent pain during the procedure. For pain and soreness after surgery, you will get medicine.
Average Hospital Stay
Several days—If you have problems, you may need to stay longer.
At the Hospital
- You may need to wear special socks or boots to help prevent blood clots.
- You may have a foley catheter for a short time to help you urinate.
- You may use an incentive spirometer to help you breathe deeply.
It may take several weeks for you to recover.
- Follow your doctor's instructions.
- The doctor will remove the sutures or staples in 7-10 days.
- Take proper care of the incision site. This will help to prevent an infection.
- Take showers instead of baths.
- During the first two weeks, rest and avoid lifting.
- Slowly increase your activities. Begin with light chores, short walks, and some driving. Depending on your job, you may be able to return to work.
- To promote healing, eat a diet rich in ]]>fruits and vegetables]]>.
Try to avoid
- Eating ]]>high-fiber foods]]>
- Drinking plenty of water
- Using stool softeners if needed
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
- Fever or chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Increasing pain or pain that does not go away
- Your abdomen becomes swollen or hard to the touch
- Diarrhea]]> or constipation that lasts more than 3 days
- Bright red or dark black stools
- Dizziness or fainting
- Nausea and vomiting
- Cough, shortness of breath, or chest pain
- Pain or difficulty with urination
- Swelling, redness, or pain in your leg
In case of an emergency, call 911.
American Cancer Society
National Digestive Diseases Information Clearinghouse
Canadian Digestive Health Foundation
Abdominal exploration. National Library of Medicine, MedlinePlus Medical Encyclopedia website. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/002928.htm. Updated October 2008. Accessed August 8, 2009.
Carson-DeWitt R. Spinal and epidural anesthesia. EBSCO Health Library website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=15topicID=81. Updated July 2009. Accessed August 8, 2009.
Laparoscopic surgery. Women's Surgery Group website. Available at: http://www.womenssurgerygroup.com/treatments/laparoscopic.asp. Accessed August 8, 2009.
Testing biopsy and cytology specimens for cancer. American Cancer Society website. Available at: http://www.cancer.org/docroot/ped/content/ped_2_3x_testing_biopsy_and_cytology_specimens_for_cancer.asp?sitearea=ped. Updated December 2007. Accessed June 5, 2008.
Last reviewed October 2009 by ]]>Marcin Chwistek, MD]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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