exploratory laparotomy


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exploratory laparotomy

Surgery A 'look-see' operation usually of the peritoneal cavity, in which the surgeon examines all surfaces for lesions–eg, abscesses and tumor nodules; during EL, the operator may biopsy the tissue or obtain peritoneal washings from which a specimen for cytology is processed Indications Surgical staging of regional malignancy–eg, ovarian CA Complications Adhesion formation, especially if Pts receive RT. See Laparoscopy.
References in periodicals archive ?
The study included 40 patients who underwent exploratory laparotomy in the department of surgery, Guru Nanak Dev Hospital, Amritsar.
of patients included 220 Age (median, IQR) 62 (18-4) Male % (n) 55 (109) Major complications % (n) 22 (48) Minor or no complications % (n) 78 (172) Death % (n) 11 (24) Alive % (n) 89 (196) Surgery type % (n) Open 99 (218) Laparoscopic 0.9 (2) Exploratory laparotomy 88.6 (195) Appendectomy 1.3 (3) Cholecystectomy 4.5 (10) Other 5.4 (12) Postoperative ICU/HDU admission % (n) 22 (49) Surgical Apgar Score % (n) [0-2] 1.1 (3) [3-4] 8.9 (25) [5-6] 47.7 (105) [7-8] 30.5 (67) [9-10] 9.1 (20) Overall, median 6 ICU: intensive care unit; HDU: high-dependency unit Table 3.
He was brought to the operating room for exploratory laparotomy. Intraoperatively, bloody ascites and multiple dilated loops of small bowel were found.
Similarly, in previous reports, a provisional diagnosis of ovarian malignancy was excluded by exploratory laparotomy and histological confirmation of sarcoidosis [6,13,19].
Exploratory laparotomy has been the main treatment for patients requiring surgery.
On exploratory laparotomy, there was an encapsulated, bosselated, irregular mass, 15x13x12 cm in size and with restricted mobility.
After establishing diagnosis exploratory laparotomy was planned and informed written consent was taken from each patient.
Laparoscopy is less invasive and easier postoperative care and recovery than exploratory laparotomy. The most challenging limitation of laparoscopy in abdominal pregnancy is the disability to adequate hemostasis intraoperatively.
Out of these, 296 (93.37%) underwent exploratory laparotomy. During surgery, 52 (17.56%) patients had evidence of bowel injury with 38 (12.83%) having solid organ injury plus bowel injury and 14 (4.72%) having only bowel injury.
All 70 patients underwent exploratory laparotomy, in which 62 (90%) patients were operated on emergency basis, and six patients were operated on elective basis.
Final diagnosis was dependent on findings at exploratory laparotomy, which showed a macroscopically normal gallbladder, an extrahepatic biliary system, as well as the usual appearance of the liver.
In our case, the patient was successfully resuscitated and had spontaneous circulation within a few minutes after the cardiac arrest, but he then had unexplained abdominal symptoms, which required an urgent exploratory laparotomy to resolve.

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