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Topic: Laparotomy



  
 laparotomy
Laparotomy is often used when the surgeon requires a bigger view of the operating field to correct a problem.
The choice of surgical technique may depend on the physician's training or preference and/or the specifics of a particular patient.
Sometimes either laparotomy or laparoscopy can be used to correct a condition.
http://www.dyspareunia.org/html/laparotomy.htm

  
 American Family Physician: Laparoscopy vs. laparotomy for benign ovarian masses - Tips from Other Journals
Analgesia was not required postoperatively in 54 percent of the patients in the laparoscopy group, compared with 10 percent of the laparotomy group.
Although the laparoscopic approach is less invasive than laparotomy, the decision to perform one procedure or the other should be based on the same clinical criteria.
The level of postoperative pain was significantly higher in the laparotomy group in the immediate postoperative period and within the first 24 hours after surgery.
http://www.findarticles.com/p/articles/mi_m3225/is_n4_v57/ai_20383488

  
 Gunshot wounds in Lagos
A laparotomy was considered unnecessary if visceral injury did not require repair or drainage, negative if there was no peritoneal penetration or penetration without visceral injury.
Both required delayed laparotomy, one of which was negative with no peritoneal penetration.
The likely path of the bullet or pellets and peritoneal penetration were assessed using a combination of physical examination and radiographs of chest and abdomen.
http://www.rcsed.ac.uk/journal/vol43_4/4340004.htm

  
 laparotomy myomectomy Resources relating to laparotomy myomectomy
Early outcome of myomectomy by laparotomy, minilaparotomy and
Early outcome of myomectomy by laparotomy, minilaparotomy and laparoscopically assisted minilaparotomy.
Laparotomy for Gynecological Surgery Including Myomectomy, Oophorectomy, and Salpingectomy.
http://www.fibroidreport.com/directory/laparotomy-myomectomy.html

  
 Femalepatient.com
The goal of studies on laparoscopic cancer staging is to demonstrate equivalence with laparotomy in completeness of surgical staging and survival rates.
Elderly patients were evaluated for their ability to withstand laparoscopic surgery in a retrospective study of 125 subjects with endometrial cancer.
The incidence of positive peritoneal cytology in patients undergoing laparoscopy was 10.3% compared with 2.8% undergoing laparotomy, presumably because of the intrauterine manipulator placed for laparoscopic procedures.
http://www.femalepatient.com/html/arc/sig/surgery/articles/029_04_025.asp

  
 Laparoscopy in Gynecologic Malignancies
Patients who do not undergo immediate conversion to a laparotomy should be referred expeditiously to a gynecologic oncologist so that laparotomy, surgical staging, and the initiation of definitive therapy are not delayed.
The purported advantage of the laparoscopic approach is that it provides the same delineation of the extent of disease as is achieved with laparotomy, but with less morbidity and essentially no delay in the initiation of definitive therapy.
The objective of minimally invasive surgery is not to replace laparotomy, but rather, to add one more weapon to our cache, one which would be used based on the individual surgeon’s skill and judgement and the patient’s condition.
http://www.cancernetwork.com/journals/oncology/o9906a.htm

  
 Gunshot Wounds of Abdomen: Evaluation of Stable Patients with Triple-Contrast Helical CT -- Múnera et al. 231 ...
Laparotomy was performed in 11 (23%) patients; 10 procedures
Patient underwent exploratory surgery, and the injury was confirmed at laparotomy.
The routine use of sonography in penetrating torso injury is beneficial.
http://radiology.rsnajnls.org/cgi/content/full/231/2/399

  
 Laparotomy
The main reason for a laparotomy is to investigate abdominal pain.
An alternative to laparotomy is laparoscopy, or 'keyhole surgery'.
As with any post-operative recovery, it is important to always consult your doctor.
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Laparotomy?OpenDocument

  
 Laparotomy - Wikipedia, the free encyclopedia
peptic ulcer, colon cancer) and laparotomy is required for its therapy.
Usually, only diagnostic laparotomy is referred as a surgical operation by itself; and when a specific operation is already planned, laparotomy is considered merely the first step of the procedure.
In therapeutic laparotomy, a cause has been identified (e.g.
http://en.wikipedia.org/wiki/Coeliotomy

  
 eMedicine - Gynecologic Laparoscopy : Article by William W Hurd, MD
The laparoscopic approach in gynecologic oncology remains controversial and must be used with the same care (inspecting the entire peritoneal cavity and pelvic structures) as with laparotomy.
For years, previous abdominal surgery and intestinal obstruction were regarded as contraindications to laparoscopy because of an increased risk of iatrogenic bowel perforation.
The laparoscopic approach in gynecologic oncology remains controversial and must be employed with the same care (ie, inspecting the entire peritoneal cavity and pelvic structures) as with laparotomy.
http://www.emedicine.com/med/topic3299.htm

  
 TRAUMA.ORG: Abdominal Trauma: Penetrating Abdominal Trauma Evaluation
This is a poor second choice option as it does not arrest haemorrhage, delays laparotomy, and opens a second body cavity which will contribute to further heat and blood loss.
The ability to transfer such a patient from the ambulance bay directly to the operating room and start the laparotomy within 5 minutes of arrival is vital if this is to have any chance of success.
There should be no delay in trying to resuscitate the patient prior to surgery.
http://www.trauma.org/abdo/penetrating.html

  
 Nonop Management of Liver and Spleen
Laparotomy missed 53% of specific injuries, most commonly splenic injury.
Early study of 132 patients with blunt and penetrating abdominal injury; 32 had laparoscopy.
Conclusion: Decision for laparotomy based on physiologic status of child
http://www.east.org/tpg/chap6refs.html

  
 Staging Laparotomy in the Management of Hodgkin's Disease: Is it Still Necessary? -- Multani and Grossbard 1 (1): 41 -- ...
A multifactorial analysis of staging laparotomy results in 255 patients.
staging laparotomy, radiation therapy and chemotherapy all have
risk of a positive staging laparotomy [ 27, 30, 31, 33 ].
http://theoncologist.alphamedpress.org/cgi/content/full/1/1/41

  
 Laparotomy Versus No Laparotomy in the Management of Early-Stage, Favorable-Prognosis Hodgkin's Disease: A Decision ...
MPA radiation therapy for the clinically staged patients, unlike
associated with staging laparotomy are outweighed by the benefits
Laparotomy Versus No Laparotomy in the Management of Early-Stage, Favorable-Prognosis Hodgkin's Disease: A Decision Analysis -- Ng et al.
http://www.jco.org/cgi/content/full/17/1/241

  
 Cancer Care: laparotomy
any surgical procedure which involves opening the abdominal cavity for examination (exploratory laparotomy) or to perform additional surgery
http://www.cancercare.org/news/NewsPrint.cfm?ID=994&c=325

  
 Penetrating Stab Wounds to the Abdomen: Use of Serial US and Contrast-enhanced CT in Stable Patients -- Soto et al. 220 ...
The patient was initially treated conservatively with clinical observation, but he developed progressive hemodynamic instability, and surgical exploration was required.
170 (84.2%) had clinical indications for immediate laparotomy.
http://radiology.rsnajnls.org/cgi/content/full/220/2/365

  
 My Laparotomy
If the surgery had any complications, though, it would change into a laparotomy - a more invasive procedure that would require my doctor to extend one of the small incisions by my pubic hair to three inches to allow her more maneuverability.
I was completely unaware of the many things that the surgery team did to me. In fact, the next thing I remember is being woken from a dream as they wheeled me into the recovery room.
My Laparotomy: An Experience With First-Time Surgery and an Endometrioma
http://www.goerwitz.com/endo/laparotomy

  
 Bioline International Official Site (site up-dated regularly)
The low dehiscence in the elective laparotomy group can be explained by the fact that patients do not have any intraperitoneal sepsis, have less abdominal distension, their malnutrition and anemia are corrected prior to surgery and they are operated in a more controlled setting where errors of technique are minimal.
All patients were given explanation of the study and signed a written consent form.
The study was approved by the faculty of the Department of Surgical Disciplines and the Dean's Research Protocol Committee of our Institute.
http://www.bioline.org.br/request?is04005

  
 FindArticles search for "Laparotomy"
MIAMI BEACH -- Counsel all laparoscopy patients that their procedure could be converted to a laparotomy, Dr. Andrew Sokol said in a poster presented...
Introduction: Primary peritoneal drainage (PPD) is described as a temporizing procedure to treat perforated necrotizing enterocolifts (NEC) in unstable...
Laparoscopic surgery for early endometrial cancer costs the same as laparotomy, a review of 36 cases at one institution showed.
http://www.findarticles.com/p/search?tb=art&qt=Laparotomy

  
 Laparotomy
The realisation that postoperative pain, complications and recovery times are related almost exclusively to the size and position of the initial surgical excision has contributed to the radical upheaval in the traditional surgical approach to intraabdominal pathology.
Laparotomy (open surgery) is being used less and less.
Similarly gynaecologists may in future convert nearly all laparotomies to laparoscopies.
http://www.sgeg.info/laparot.htm

  
 Laparotomy for ovarian cysts
Laparotomy is a surgical procedure to examine the abdominal organs
Ovarian cysts may come back or develop on the same ovary or on the other ovary.
Laparotomy may be recommended if you have a large cyst, cysts in both ovaries, or other characteristics that may suggest ovarian cancer.
http://hw.healthdialog.com/kbase/topic/detail/surgical/hw178611/detail.htm

  
 DARE abstract976131
To review one centre's initial experience with laparoscopy in second-look operations, for patients with epithelial ovarian cancer, compared to the standard second-look laparotomy as related to the surgical findings, outcome, morbidity and charges generated by the two different surgical approaches.
Although these data do not prove the benefit of laparoscopy over laparotomy, they do establish adequate grounds for conducting a randomised clinical trial.
The analysis of effectiveness was based on treatment completers only.
http://nhscrd.york.ac.uk/online/nhseed/976131.htm

  
 Adhesions: Laparoscopic Surgery versus Laparotomy -- MILINGOS et al. 900 (1): 272 -- Annals of the New York Academy of ...
Adhesions: Laparoscopic Surgery versus Laparotomy -- MILINGOS et al.
http://www.annalsnyas.org/cgi/content/abstract/900/1/272

  
 Intraperitoneal Radioactive Phosphorus (32P) Versus Observation After Negative Second-Look Laparotomy for Stage III ...
Intraperitoneal Radioactive Phosphorus (32P) Versus Observation After Negative Second-Look Laparotomy for Stage III Ovarian Carcinoma: A Randomized Trial of the Gynecologic Oncology Group -- Varia et al.
Varia M, Rosenman J, Venkatraman S, et al: Intraperitoneal chromic phosphate therapy after second-look laparotomy for ovarian cancer.
Bolis G, Villa A, Guarnerio P, et al: Survival of women with advanced ovarian cancer and complete pathologic response at second-look laparotomy.
http://www.jco.org/cgi/content/full/21/15/2849

  
 Women's Surgery Group
Usually, however, gynecologic surgery performed through a laparotomy is done by looking directly into the incision.
Laparoscopic surgery, on the other hand, is performed while viewing the operative field on a television monitor.
A "bikini" laparotomy incision (Pfannenstiel) may be of varying lengths, from a few inches (minilaparotomy) to the entire length between the hip bones.
http://www.womenssurgerygroup.com/treatments/comparelaparo.asp

  
 [No title]
The effective date of an evaluation and award of compensation based on an original claim will be the date of receipt of the claim or the date entitlement arose, whichever is the latter.
The condition was rated 20 percent disabling, effective from February 8, 1988.
The veteran's claim in July 1984 was a claim for an increased evaluation for his service-connected genitourinary disorder.
http://www.va.gov/vetapp/files2/9411706.txt

  
 Surgery for ovarian cysts
However, a laparotomy allows the best possible view of the abdominal organs
Complete the surgery information form to help you prepare for this surgery.
For more information, see laparoscopic surgery versus laparotomy.
http://my.webmd.com/hw/womens_conditions/hw178611.asp

  
 Her Laparotomy
Her Laparotomy: An Experience With First-Time Surgery and an Endometrioma
But at that particular moment all I wanted to know was why the surgery took so long, and how she expected my wife to do.
At my wife's last annual exam our family doctor noticed that her right ovary was enlarged.
http://www.goerwitz.com/endo/laparotomy_husband

  
 Diaphragm Function during Sighs in Awake Dogs after Laparotomy -- KATAGIRI et al. 157 (4): 1085 -- American Journal of ...
that diaphragm dysfunction after laparotomy arises from a reflex
EMG transducers into the diaphragm of dogs by laparotomy, then
Effects of midline laparotomy on expiratory muscle activation in anesthetized dogs.
http://www.ajrccm.org/cgi/content/full/157/4/1085

  
 Actinomycosis- Health Encyclopedia and Reference
Abdominal actinomycosis are mostly preceded by surgery such as laparotomy for acute appendicitis, perforated ulcer, or gallbladder inflammation.
Occasionally, cervicofacial and thoracic disease may result in nervous system complications - most commonly brain abscesses or meningitis.
http://www.healthcentral.com/encyclopedia/408/258/Actinomycosis.html

  
 A Prospective Study of 2-[18F] Fluoro-2-Deoxy-D-Glucose/Positron Emission Tomography Scan, 99mTc-Labeled Arcitumomab ...
had negative second-look laparotomies and had a negative CEA
means of reproducing what would be the common second-look laparotomy
laparotomy this patient was found to have a primary lung cancer,
http://www.annalssurgicaloncology.org/cgi/content/full/8/10/779

  
 Arch Surg -- Abstract: Laparoscopic Colectomy: Indications for Conversion to Laparotomy, May 1999, Pandya et al. 134 ...
From the Departments of General Surgery (Dr Pandya) and Colon and Rectal Surgery (Drs Murray, Coller, and Rusin), Lahey Clinic, Burlington, Mass.
experience, and currently the need for conversion to laparotomy
Arch Surg -- Abstract: Laparoscopic Colectomy: Indications for Conversion to Laparotomy, May 1999, Pandya et al.
http://archsurg.ama-assn.org/cgi/content/abstract/134/5/471

  
 Ovarian Cancer Stages, Grading and Prognosis
Cancer staging requires a surgical technique called a laparotomy.
The amount of cancerous tissue remaining after the laparotomy may also have a positive or negative affect on prognosis.
The stage and grade of a tumor are important prognostic factors that help determine the outcome of the cancer and treatment options.
http://www.information-about-ovarian-cancer.com/html/staging.php3

  
 INTERGEL Adhesion Prevention Solution Clinical Study of Use during Laparotomy for Gynecologic Interventions Lifecore ...
INTERGEL Adhesion Prevention Solution Clinical Study of Use during Laparotomy for Gynecologic Interventions Lifecore Biomedical, Inc.
“… in patients undergoing adhesiolysis or myomectomy during conservative gynecological pelvic surgery by laparotomy …”
http://www.fda.gov/ohrms/dockets/ac/01/briefing/3789b1_08/index.htm

  
 MedlinePlus Medical Encyclopedia: Abdominal exploration
Abdominal exploration is a surgical procedure that opens the abdomen (laparotomy) and explores it for problems.
During a laparotomy, treatment of problems may also be administered.
Diseases that may be discovered by exploratory laparotomy include the following:
http://www.nlm.nih.gov/medlineplus/ency/article/002928.htm

  
 OB GYN News : Tell laparoscopy patients about laparotomy. (Conversion Risk). @ HighBeam Research
MIAMI BEACH -- Counsel all laparoscopy patients that their procedure could be converted to a laparotomy, Dr. Andrew Sokol said in a poster presented at the annual meeting of the American Association of Gynecologic Laparoscopists.
OB GYN News : Tell laparoscopy patients about laparotomy.
The morbidity associated with laparotomy alone is greater than with laparoscopy, and the risk of conversion increases if less experienced surgeons are attempting complicated procedures, said Dr. Sokol of the Cleveland Clinic.
http://static.elibrary.com/o/obgynnews/march012003/telllaparoscopypatientsaboutlaparotomyconversionri/index.html

  
 Hodgkin's disease - Wikipedia, the free encyclopedia
These procedures will always include documentation of their histology, a physical examination, blood tests, chest X-Ray, CT scans or MRI ( magnetic resonance imaging) scans of the chest, abdomen and pelvis, and a bone marrow biopsy.
Some patients will also require liver biopsy, lymphangiograms, gallium scans, bone scans, and surgical laparotomy, which involves opening the abdominal cavity and visually inspecting for tumors.
On the basis of this staging, the patient will be classified according to a staging classification (the Ann Arbor staging classification scheme is a common one):
http://en.wikipedia.org/wiki/Hodgkin%27s_disease

  
 Abstract: Cutaneous Vasculitis — A Case for Laparotomy?
In view of the importance of gastrointestinal involvement to therapy decisions, laparotomy may be necessary to establish the presence of vasculitis.
This case illustrates the need to tailor treatment to disease severity, rather than determine it by the type of vasculitis with which the patient has been labelled.
Although endoscopic biopsies were unremarkable, full thickness biopsy taken at laparotomy revealed a necrotizing vasculitis.
http://www.jrheum.com/abstracts/abstracts03/1621.html

  
 Streamor.com: Next Generation Streaming Surgical Education - Procedure Index
"Open" surgery is traditional surgery performed through a laparotomy incision as opposed to laparoscopic or "keyhole" surgery.
Midline Laparotomy 4: Pelvic Washings in Cancer Surgery
Advantages of open surgery include a larger area to operate through, direct tactile feedback for the surgeon, and in most cases a more rapid operating time.
http://www.streamor.com/opengyn/openindex.html

  
 Laparoscopic Lysis of Adhesions
Laparoscopy is, however, associated with a much lower incidence of wound adhesion.
An eventration of the trocar orifice occurred late in one patient and ischaemic stenosis of the bowel required laparotomy in another.
Intestinal mobility was re-established in 1.8 days after operation and the mean duration of hospitalization was 5days for patients with laparoscopic procedure alone compared with 3.4 daysfor intestinal mobility and 10.4 days hospitalization for the 9 patients who were converted to laparotomy.
http://www.foxhall.com/adhesion.htm

  
 Sorensen and Mikhail, Is Delayed Laparotomy For Blunt Abdominal Trauma A Valid Quality Improvement Measure In The Era ...
Background: Review of hemodynamically stable patients who undergo laparotomy for trauma greater than 4 hours after admission is an ACS QI filter.
Of 3369 admitted blunt trauma patients, 89 (2.6%) underwent laparotomy for trauma, of which 25 patients (28%) were identified as delayed laparotomies greater than 4 hours after admission.
We reviewed our recent experience with patients who underwent laparotomy for trauma greater than 4 hours after admission to evaluate the reasons for delay, and determine if they were due to failure of non-operative management (NOM) or other causes.
http://www.aast.org/01abstracts/01absOral_044.html

  
 FW: Laparoscopy vs laparotomy
It seems to me that simpler to perform primary surgical repair with exploration of the wound to see whether the peritoneum was damaged or not which you should do anyway even when you performed laparoscopy.
Hello Hairul, Tuesday, August 29, 2000, 11:53:19 AM, you wrote: tl> What is the general feeling of the members for the management of a stable tl> patient with penetrating abdominal injury?
Waiting until full-blown peritonitis will develop is too risky.
http://list.ftech.net/pipermail/trauma-list/2000/007106.html

  
 Clarke, et al., Time To Laparotomy For Intra-Abdominal Bleeding From Trauma Does Affect Survival For Delays Up To 90 ...
Objective : We examined the relationship between survival and time in the Emergency Department (ED) prior to laparotomy for hypotensive patients bleeding from abdominal injuries.
SBP ranged from 30-90 mm Hg, with 198 patients having a SBP < 90 mm Hg.
Method : All patients brought directly to any Pennsylvania trauma center prior to June of 1999 were identified through the Pennsylvania Trauma Systems Registry.
http://www.aast.org/01abstracts/01absOral_022.html

  
 Medical Tests: Laparotomy - WrongDiagnosis.com
Conditions list: The following list of conditions have 'Laparotomy' or similar listed as a test in our database:
Condition count: 7; see list of conditions below.
By using this site you agree to our Terms of Use.
http://www.wrongdiagnosis.com/test/laparotomy.htm

  
 Minimally Invasive Management of 14.5-Week Abdominal Pregnancy Without Laparotomy: A Novel Approach Using Percutaneous ...
Minimally Invasive Management of 14.5-Week Abdominal Pregnancy Without Laparotomy: A Novel Approach Using Percutaneous Sonographically Guided Feticide and Systemic Methotrexate -- Mitra and LeQuire 22 (7): 709 -- Journal of Ultrasound in Medicine
without subsequent exploratory laparotomy can result in a gradual
guided feticide followed 10 days later by uneventful laparotomy
http://www.jultrasoundmed.org/cgi/content/abstract/22/7/709

  
 Correlation of Platelet Count With Second-Look Laparotomy Results and Disease Progression in Patients With Advanced ...
According to second-look laparotomy and follow-up results patients
According to second-look laparotomy or follow-up results patients
second-look laparotomy was offered to all patients with good
http://www.greenjournal.org/cgi/content/full/103/1/82

  
 Untitled Document
Eventually, 3 patients gave up CAPD because of leakage (through the herniorrhaphy site in 1 patient and relapse of the incisional hernia in 2 patients).
Laparotomy for PD catheter malposition was required in 20 of the 148 patients.
Among the patients with incisional hernia, 2 patients showed multiple recurrences and 1 patient showed later leakage; PD catheters were lost in these patients.
http://www.advancesinpd.com/adv01/29Song.htm

  
 Epidural analgesia for a laparotomy in a morbidly obese patient with a history of difficult intubation -- Loo et al. 50 ...
Epidural analgesia for a laparotomy in a morbidly obese patient with a history of difficult intubation
Epidural analgesia for a laparotomy in a morbidly obese patient with a history of difficult intubation -- Loo et al.
We describe the case of a morbidly obese male (61 yr, body mass
http://www.cja-jca.org/cgi/content/full/50/3/312

  
 eMedicine - Cesarean Delivery : Article by Harish M Sehdev, MD
The patient is placed on an external fetal monitor, and the patient is evaluated by the operating physician and an anesthesiologist.
The most common situation is a patient who has had several prior laparotomies (including several prior cesarean deliveries) or one who develops a coagulopathy from either severe preeclampsia or significant hemorrhage.
The uterine cavity usually is wiped clean of all membranes with a dry laparotomy sponge, and the cervix can be dilated with an instrument, such as a Kelly clamp, if the patient underwent delivery with a previously undilated cervix.
http://www.emedicine.com/med/topic3283.htm

  
 laparotomy
laparotomy ; laparoscopy ; horses ; diagnostic techniques ; animal anatomy ;
This full-text document focuses on the uses and benefits of using exploratory laparotomy in horses, and was authored by D.G. Wilson of the Western College of Veterinary Medicine, University of Saskatchewan.
This full-text document focuses on the use of operative laparoscopy in horses for procedures involving the abdominal wall and bladder, and was authored by D.G. Wilson of the Western College of Veterinary Medicine, University of Saskatchewan.
http://vetgate.ac.uk/browse/cabi/detail/7d8b220a176e916661bcbc6483a6ab20.html

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