Laparotomy | Definition & Procedure

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data-icon="zoom_in"></em> </button> </a> </div> <figcaption class="card-body"> <div class="md-assembly-caption text-muted font-14 font-serif line-clamp"> <span> <a class="gtm-assembly-link md-assembly-title font-weight-bold d-inline font-sans-serif mr-5 media-overlay-link" href="https://cdn.britannica.com/96/165996-050-EE51CD0C/organs-fold-ribcage-bones-pelvis-peritoneum-fat.jpg" data-href="/media/1/2111271/68663">abdominal organs</a> <span><span>The abdominal organs are supported and protected by the bones of the pelvis and ribcage and are covered by the greater omentum, a fold of peritoneum that consists mainly of fat.</span></span> <button class="js-more-btn d-none btn btn-unstyled font-12 bg-white js-content" aria-label="Toggle more/less fact data"> <span class="link-blue">(more)</span> </button> </span> </div> </figcaption> </figure> </div><div class="topic-header"> <div class="d-flex align-items-top justify-content-between"> <div class="d-flex flex-column"> <div> <div> <h1>laparotomy</h1></div> </div> <div class="topic-identifier font-16 font-md-20">surgery</div> </div> </div> <div class="d-none d-sm-flex flex-row"> <div class="mr-10 mb-15"> <button class="ai-ask-button btn border-2 btn-sm js-inline-ai-ask-button btn-outline-red-400 border-red-400"> Ask the Chatbot a Question </button> </div> <div class="d-none d-sm-block md-topic-tools qa-action-buttons mb-15" data-topic-id="2111271"> <button class="js-tooltip btn btn-sm btn-outline-blue border pr-10 border-2" > <em class="material-icons md-icon ml-n10 my-n5 mr-5" data-icon="more_vert"></em> More Actions </button> <div class="md-more-popover popover popover-sm p-0 font-14 z-1"> <div> <a class="js-modal btn btn-sm btn-link gtm-topic-tool font-weight-bold btn-link" href="/print/article/2111271" target="_blank" > <em class="material-icons mr-5 ml-n10 my-n5 md-icon" data-icon="print"></em> Print </a> </div> <div> <button class="js-modal qa-cite-modal-button btn btn-sm btn-link gtm-topic-tool 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Please refer to the appropriate style manual or other sources if you have any questions. </div> <div class="label mt-20 mb-10">Select Citation Style</div> <select class="js-citation-format-select form-select"> <option selected value="mla">MLA</option> <option value="apa">APA</option> <option value="chicago">Chicago Manual of Style</option> </select> <div class="citation font-serif border rounded p-15 mt-20" data-authors="The Editors of Encyclopaedia Britannica" data-title="laparotomy" data-published-date="7 Jun. 2023" data-url="https://www.britannica.com/science/laparotomy" > <div class="citation-text"></div> </div> <button class="js-copy-citation-button mt-20 btn btn-xs btn-outline-blue border shadow-sm pr-10" > <em class="material-icons md-icon ml-n10 my-n5 mr-5" data-icon="file_copy"></em> <span class="js-citation-status-text">Copy Citation</span> </button> </div> </div> </div> <div> <button class="js-share-modal-button js-modal btn btn-sm btn-link gtm-topic-tool font-weight-bold btn-link" data-modal="[data-topic-id=2111271] .md-share-modal"> <em class="material-icons mr-5 ml-n10 my-n5 md-icon" data-icon="share"></em> Share </button> <div class="md-share-modal size-lg d-none qa-share-modal"> <div class="md-modal-body"> <div class="h2 font-serif d-flex align-items-center pb-15 border-bottom"> <em class="material-icons text-blue mr-10" data-icon="share"></em> Share </div> <div class="label my-20">Share to social media</div> <div class="md-social-toolbar-circle d-flex align-items-start inverted" data-value="share" title="laparotomy" data-url="https://www.britannica.com/science/laparotomy" > <a class="social-icon facebook justify-content-center d-flex align-items-center align-self-center" data-provider="facebook" href="https://www.facebook.com/BRITANNICA/" target="_blank" rel="noopener"><span>Facebook</span></a> <a class="social-icon x justify-content-center d-flex align-items-center align-self-center" data-provider="x" href="https://x.com/britannica" target="_blank" rel="noopener"><span>X</span></a> </div> <div class="label pt-20 mt-20 mb-5 border-top">URL</div> <a class="font-serif text-truncate d-inline-block" href="https://www.britannica.com/science/laparotomy">https://www.britannica.com/science/laparotomy</a> </div> </div> </div> <div> <button class="js-feedback-modal-button js-modal btn btn-sm btn-link gtm-topic-tool font-weight-bold btn-link" data-modal=".md-feedback-modal"> <em class="material-icons mr-5 ml-n10 my-n5 md-icon" data-icon="message"></em> Feedback </button> </div> <div> <button class="qa-external-website-modal-button js-modal btn btn-sm btn-link gtm-topic-tool font-weight-bold btn-link" data-modal="[data-topic-id=2111271] .md-websites-modal"> <em class="material-icons md-icon ml-n10 mr-5" data-icon="link"></em> External Websites </button> </div> </div> <div class="md-feedback-modal size-lg d-none"> <div class="md-modal-body"> <div class="h2 font-serif pb-15 border-bottom"> Feedback </div> <form method="post" action="/submission/feedback/2111271"> <div class="my-20"> Corrections? 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Let us know if you have suggestions to improve this article (requires login). </div> <div class="type-menu"> <label for="feedback-type" class="label mb-10">Feedback Type</label> <select id="feedback-type" class="form-select mb-30" name="feedbackTypeId" required> <option value="" selected="selected">Select a type (Required)</option> <option value="1">Factual Correction</option> <option value="2">Spelling/Grammar Correction</option> <option value="3">Link Correction</option> <option value="4">Additional Information</option> <option value="5">Other</option> </select> </div> <label for="feedback" class="label mb-10">Your Feedback</label> <textarea id="feedback" class="form-control mb-30" name="feedback" maxlength="3000" rows="7" required></textarea> <button class="btn btn-blue" type="submit">Submit Feedback</button> </form> <div class="success-messaging d-none mt-30"> <div class="title">Thank you for your feedback</div> <p>Our editors will review what you’ve submitted and determine whether to revise the article.</p> </div> </div> </div> <div class="md-websites-modal size-lg d-none"> <div class="md-modal-body"> <div class="h2 font-serif pb-15 border-bottom font-weight-bold"> External Websites </div> <div class="pb-20"> <ul class="list-unstyled mt-20 lh-lg"> <li><a class="external" href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/laparotomy" target="_blank" rel="noopener ">Better Health Channel - Laparotomy</a></li> </ul> </div> </div> </div> </div> </div> <div class="toc-header-marker"></div> <button class="ai-ask-button btn border-2 js-header-ai-ask-button d-none btn-sm btn-outline-red-400 border-red-400 mr-0 mr-lg-10 ml-5 ml-sm-10 ml-lg-0 p-10"> Ask the Chatbot a Question </button> <div class="caption alternate-titles">Also known as: celiotomy</div> <div class="md-byline module-spacing "> <div class="font-serif font-12"> <span class="written-by text-gray-700"> Written and fact-checked by </span> <div class="editor-popover popover p-0"> <a class="d-block p-20 gtm-byline font-12 byline-contributor" href="/editor/The-Editors-of-Encyclopaedia-Britannica/4419" > <div class="editor-title font-16 font-weight-bold">The Editors of Encyclopaedia Britannica</div> <div class="editor-description font-12 font-serif mt-5 text-black">Encyclopaedia Britannica's editors oversee subject areas in which they have extensive knowledge, whether from years of experience gained by working on that content or via study for an advanced degree. They write new content and verify and edit content received from contributors.</div> </a> <div data-popper-arrow></div> </div> <span class="btn btn-link editor-link p-0 qa-byline-link gtm-byline font-12 byline-contributor text-decoration-underline"> The Editors of Encyclopaedia Britannica</span></div> <div class="last-updated font-12 font-serif"> <a class="byline-edit-history" href="https://www.britannica.com/science/laparotomy/additional-info#history" rel="nofollow">Article History</a> </div></div> </div> <button class="d-flex d-lg-none btn btn-outline-blue border rounded-sm shadow-sm mobile-toc-button gtm-mobile-toc-inline-button d-none d-sm-block js-sections-inline-button module-spacing btn d-lg-none"> <em class="material-icons mr-5 ml-n10 my-n5 md-icon" data-icon="toc"></em> Table of Contents </button> <div class="d-flex d-sm-none flex-row"> <button class="d-flex d-lg-none btn btn-outline-blue border rounded-sm shadow-sm mobile-toc-button gtm-mobile-toc-inline-button js-sections-inline-button module-spacing"> <em class="material-icons mr-5 ml-n10 my-n5 md-icon" data-icon="toc"></em> Table of Contents </button> <button class="ai-ask-button btn border-2 ai-ask-button btn border-2 module-spacing btn-sm js-inline-ai-ask-button btn-outline-red-400 border-red-400 p-10 ml-5"> Ask the Chatbot a Question </button> </div> <div class="js-qf-module qf-module px-40 px-sm-20 py-15 mx-auto module-spacing font-14 bg-gray-50 rounded"> <div class="facts-list mt-10"> <div class=""> <div class="js-fact mb-10 line-clamp clamp-3"> <dl> <dt>Also called: </dt> <dd>celiotomy</dd> </dl> <button class="js-more-btn d-none btn btn-unstyled font-12 bg-gray-50" aria-label="Toggle more/less fact data"> <em class="js-content link-blue">(Show more)</em> </button> </div> </div> <div class=""> <div class="js-fact mb-10 line-clamp clamp-3"> <dl> <dt>Related Topics: </dt> <dd><a href="/science/surgery-medicine" topicid="575155">surgery</a></dd> <dd><a href="/science/abdominal-cavity" topicid="852">abdominal cavity</a></dd> <dd><a href="/science/abdomen" topicid="844">abdomen</a></dd> </dl> <button class="js-more-btn d-none btn btn-unstyled font-12 bg-gray-50" aria-label="Toggle more/less fact data"> <em class="js-content link-blue">(Show more)</em> </button> </div> <div class="text-center"> <a class="btn btn-sm btn-link p-0" href="/facts/laparotomy"> See all related content </a> </div> </div> </div> </div><span class="marker before-article"></span><section data-level="1" id="ref1"><span class="marker PREMOD1 mod-inline"></span><p class="topic-paragraph"><strong><span id="ref1251608"></span>laparotomy</strong>, opening of the <span id="ref1251609"></span><a href="https://www.britannica.com/science/abdominal-cavity" class="md-crosslink " data-show-preview="true">abdominal (or peritoneal) cavity</a>. After laparotomy became reasonably safe, the whole field of <span id="ref1251613"></span><a href="https://www.britannica.com/science/abdomen" class="md-crosslink " data-show-preview="true">abdominal</a> <span id="ref1251610"></span><a href="https://www.britannica.com/science/surgery-medicine" class="md-crosslink " data-show-preview="true">surgery</a> unfolded.</p><div class="one-good-fact-module"> </div><span class="marker MOD1 mod-inline"></span><span class="marker PREMOD2 mod-inline"></span><p class="topic-paragraph">Laparotomy requires (1) a safe cutting into the abdominal cavity through the <a href="https://www.britannica.com/science/human-skin" class="md-crosslink " data-show-preview="true">skin</a>, <a href="https://www.britannica.com/topic/fat" class="md-crosslink " data-show-preview="true">fat</a>, <a href="https://www.britannica.com/science/human-muscle-system" class="md-crosslink " data-show-preview="true">muscles</a>, <a href="https://www.britannica.com/science/aponeurosis" class="md-crosslink " data-show-preview="true">muscular aponeuroses</a>, and <span id="ref1251611"></span><a href="https://www.britannica.com/science/peritoneum" class="md-crosslink " data-show-preview="true">peritoneum</a> in that order from the exterior inward; (2) the repair or removal of intra-abdominal <a href="https://www.britannica.com/science/organ-biology" class="md-crosslink " data-show-preview="true">organs</a> while the surgeon is working inside the cavity; and (3) a safe and <a class="md-dictionary-link md-dictionary-tt-off mw" data-term="meticulous" href="https://www.merriam-webster.com/dictionary/meticulous" data-type="MW">meticulous</a> closure. If the abdominal wall is not closed properly, wound disruption, or possibly wound evisceration, may result. Because of an <a class="md-dictionary-link md-dictionary-tt-off mw" data-term="inherent" href="https://www.merriam-webster.com/dictionary/inherent" data-type="MW">inherent</a> resistance to infection on the part of the peritoneum, infection of the laparotomy wound may occur without accompanying peritonitis. Such wound infection, faulty technique, and the high pressure produced within the <span id="ref1251612"></span><a href="https://www.britannica.com/science/peritoneal-cavity" class="md-crosslink ">peritoneal cavity</a> by coughing or straining are the main causes of laparotomy wound disruption.</p><span class="marker MOD2 mod-inline"></span></section> <span class="md-signature">This article was most recently revised and updated by <a href="/editor/Michael-Ray/6392">Michael Ray</a>.</span><span class="marker end-of-content"></span><span class="marker after-article"></span></div> <div id="chatbot-root"></div> </div> </div> </div> <div class="ai-dialog-placeholder"></div> </div> </div> <aside class="col-md-da-320"></aside> </div> </div> </div> </div> </article></div> </div></div> </div> </main> <div id="md-footer"></div> <noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-5W6NC8" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <script type="text/javascript" id="_informizely_script_tag"> var IzWidget = IzWidget || {}; (function (d) { var scriptElement = d.createElement('script'); scriptElement.type = 'text/javascript'; scriptElement.async = true; scriptElement.src = "https://insitez.blob.core.windows.net/site/f780f33e-a610-4ac2-af81-3eb184037547.js"; var node = d.getElementById('_informizely_script_tag'); node.parentNode.insertBefore(scriptElement, node); } )(document); </script>  <script> window.ap3c = window.ap3c || {}; var ap3c = window.ap3c; ap3c.cmd = ap3c.cmd || []; ap3c.cmd.push(function() { ap3c.init('ZO4siT4cLwnykPnzZWJtd3Byb2Q', 'https://engage.email.britannica.com/'); ap3c.track({v: 0}); }); ap3c.activity = function(act) { ap3c.act = (ap3c.act || []); ap3c.act.push(act); }; var s, t; s = document.createElement('script'); s.type = 'text/javascript'; s.src = "https://engage.email.britannica.com/app.js"; t = document.getElementsByTagName('script')[0]; t.parentNode.insertBefore(s, t); </script> <script class="marketing-page-info" type="application/json"> {"pageType":"Topic","templateName":"DESKTOP","pageNumber":1,"pagesTotal":1,"pageId":2111271,"pageLength":134,"initialLoad":true,"lastPageOfScroll":false} </script> <script class="marketing-content-info" type="application/json"> [] </script> <script src="https://cdn.britannica.com/mendel-resources/3-130/js/libs/jquery-3.5.0.min.js?v=3.130.14"></script> <script type="text/javascript" data-type="Init Mendel Code Splitting"> (function() { $.ajax({ dataType: 'script', cache: true, url: 'https://cdn.britannica.com/mendel-resources/3-130/dist/topic-page.js?v=3.130.14' }); })(); </script> <script class="analytics-metadata" type="application/json"> {"leg":"D","adLeg":"D","userType":"ANONYMOUS","pageType":"Topic","pageSubtype":null,"articleTemplateType":"SMALL","gisted":false,"pageNumber":1,"hasSummarizeButton":false,"hasAskButton":false} </script> <script type="text/javascript"> EBStat={accountId:-1,hostnameOverride:'webstats.eb.com',domain:'www.britannica.com', json:''}; </script> <script type="text/javascript"> ( function() { $.ajax( { dataType: 'script', cache: true, url: '//www.britannica.com/webstats/mendelstats.js?v=1' } ) .done( function() { try {writeStat(null,EBStat);} catch(err){} } ); })(); </script> <div id="bc-fixed-dialogue"></div> </body> </html>

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Laparotomy | Definition & Procedure | Britannica