Laparotomy is a surgical technique that involves making a large incision in the abdominal wall to access the abdominal cavity. This procedure is often necessary in emergencies, particularly for addressing bowel obstructions and perforations, which can lead to severe complications if not treated promptly.

Indications for Laparotomy

• Bowel Obstruction: This condition occurs when there is a blockage in the intestines, preventing the normal passage of contents. Causes can include adhesions from previous surgeries, tumours, or impacted stool.
• Bowel Perforation: A tear in the intestinal wall can lead to leakage of intestinal contents into the abdominal cavity, causing peritonitis, a severe and potentially life-threatening infection.

Benefits

Laparotomy allows for:

• Direct Visualisation: Surgeons can directly observe and treat the underlying cause of the obstruction or perforation.
• Comprehensive Treatment: In addition to addressing the primary issue, the surgeon can identify and treat any other problems within the abdominal cavity.

When is it Recommended?

Laparotomy is typically indicated in emergencies where a patient presents with severe abdominal pain, vomiting, fever, and signs of shock. Diagnostic imaging, such as X-rays or CT scans, may support the decision to proceed with surgery.

Recovery Process

After laparotomy, patients usually stay in the hospital for several days to monitor for complications. Pain management is an essential aspect of recovery, and patients are encouraged to increase their activity levels as they heal gradually. Follow-up care is critical to ensure proper recovery and address any complications that may arise.

For more information or to schedule a consultation with Dr. Mouhsen Al Hosein, contact today.