Home > Health A – Z > Laparotomy
  • We are sorry, but NCBI web applications do not support your browser and may not function properly. More information

Laparotomy

An operation that opens up the abdomen. NIH - National Institute of Diabetes and Digestive and Kidney Diseases

What works? Research summarized

Evidence reviews

Decompressive laparotomy for abdominal compartment syndrome: a critical analysis

Bibliographic details: De Waele J J, Hoste E A, Malbrain M L.  Decompressive laparotomy for abdominal compartment syndrome: a critical analysis. Critical Care 2006; 10(2): R51

Laparoscopy versus laparotomy for ectopic pregnancy: a systematic review

Bibliographic details: Gao MX, Gao Q, Jia J, Bao LJ, Zhang PZ, Tian JH, Yang KH.  Laparoscopy versus laparotomy for ectopic pregnancy: a systematic review. Chinese Journal of Evidence-Based Medicine 2009; 9(9): 994-1000

Laparoscopic surgery versus laparotomy for women with polycystic ovarian syndrome: a systematic review

Bibliographic details: Zeng QY, Xu LZ, Zhang NN.  Laparoscopic surgery versus laparotomy for women with polycystic ovarian syndrome: a systematic review. Chinese Journal of Evidence-Based Medicine 2010; 10(12): 1425-1431

See all (139)

Summaries for consumers

Laparoscopy versus laparotomy (open surgery) for early‐stage ovarian cancer

Stage I ovarian cancer is diagnosed when the tumour is confined to one or both ovaries, without spread to lymph nodes or other parts of the body. Approximately 25% of women with ovarian cancer will be diagnosed at an early stage, thus the diagnosis often occurs due to an accidental finding. The intention of surgical staging is to establish a diagnosis, to assess the extent of the cancer and to remove as much tumour as possible. The latter is particularly important as women with ovarian cancer survive for longer when all visible tumour has been removed.

Peritoneal drainage versus laparotomy as initial surgical treatment for perforated necrotizing enterocolitis or spontaneous intestinal perforation in preterm low birth weight infants

Intestinal perforation is a very serious condition in very premature babies. Standard treatment of intestinal perforation is the surgical opening of the abdomen and removal of the unhealthy or dead intestine. Insertion of a drain into the abdomen instead of surgical opening has been tried to treat this condition. This review did not find any significant advantages or harms of insertion of the drain over surgically opening the abdomen; however, there is too little evidence to fully understand the risks and benefits of this approach.

Laparoscopic surgery for benign ovarian tumours is associated with less pain, shorter hospital stay, and fewer adverse events than with laparotomy

Laparoscopy is a modern surgical technique in which operations are performed through small incisions (usually 2 to 3 cm long) using a laparoscope. This is a telescopic rod lens system that is usually connected to a video camera. In the 12 controlled studies identified, laparoscopic surgery was associated with reduced risk of any adverse events from surgery, less pain, and fewer days in the hospital when compared to laparotomy, the traditional surgical technique.There was no difference between the procedures with regard to outcomes of fever, postoperative infections, and tumour recurrence.

See all (42)

More about Laparotomy

Photo of an adult

Also called: Celiotomy, Coeliotomy

Keep up with systematic reviews on Laparotomy:

RSS

PubMed Health Blog...

read all...