ISSN 2398-2950      

Laparotomy: midline

ffelis
Contributor(s):

Ed Hall

Joseph Harari

Synonym(s): Celiotomy


Introduction

  • Access to abdominal (also potentially thoracic and pelvic) cavity.

Uses

  • Treatment of various lesions (almost all abdominal organs can be exposed optimally).
  • Investigation when other options are unavailable or inconclusive.

Advantages

  • Access to pelvic organs: extension via pubic symphysiotomy.
  • Access to thoracic organs: extension via sternotomy or diaphragmatic incision.
  • Allows full assessment of entire abdomen.
  • Fast and usually avascular approach.
  • Can improve access to craniodorsal abdomen with paracostal extension (rarely indicated).

Requirements

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Preparation

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Procedure

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Aftercare

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Further Reading

Publications

Refereed papers

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