Open Exploratory Laparotomy

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SAMPLE EXCERPT
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PRE-PROCEDURE
INDICATIONS
  • Pneumoperitoneum, hemoperitoneum, peritoneal contamination, obstruction, ischemia, diagnostic
EQUIPMENT
  • Standard laparotomy tray
ANATOMY
  • The supracolic compartment contains the liver, gallbladder, stomach, and spleen.
  • The infracolic compartment contains the colon, small intestine, female reproductive organs, and bladder (preperitoneal).
  • Retroperitoneal organs include duodenum, pancreas, kidney, aorta, and inferior vena cava.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Nasogastric decompression and intravenous fluids until resumption of bowel activity.
  • Gradual advance of diet on resumption of bowel activity.
  • Discharge times vary greatly depending on indication for laparotomy.
COMPLICATIONS
  • Ileus, small bowel obstruction, wound infection, intra-abdominal abscess
RESULT ANALYSIS
  • Exploratory laparotomy is a necessary diagnostic and therapeutic operation performed often in emergency situations for the indications of hemoperitoneum, pneumoperitoneum, intraperitoneal contamination, ischemia, and obstruction.
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