Surgical Procedures/Abdominal Surgery

Laprotomy:

• Operation by which abdominal cavity is opened.
• A large incision is through the abdominal wall, made to operate on or view the abdominal contents.

Types of Laprotomy

1. Therapeutic Laprotomy:
   • Is performed to inspect abdominal cavity.
   • Is performed to manipulate with internal organs.
2. Diagnostic Laprotomy:
   • Is performed to establish final diagnosis.
   • Is performed to surgically excise pathological formation.
     • E.g usually tumors.
3. Probatoric Laprotomy:

Incisions

1. Vertical Incisions. a) Medial Incision: o Commonest incision due to:  Wide incision which gives more  Is performed in: • White line of Abdomen. • Lateral to Umbilicus. o Is performed not to disturb Round Ligament of Liver. Depending on the relation with Umbilicus, vertical incisions are known as:  Superior Medial Incision.  Inferior middle Medial Incision.