Abdominal exploration

Definition

Abdominal exploration is surgery to look at the organs and structures in your belly area (abdomen). This includes your:

Surgery that opens the abdomen is called a laparotomy.

Alternative Names

Exploratory surgery; Laparotomy; Exploratory laparotomy

Description

Exploratory laparotomy is done while you are under general anesthesia. This means you are asleep and feel no pain.

Your surgeon makes a cut into the abdomen and examines the abdominal organs. The size and location of the surgical cut depend on the specific health concern.

A biopsy can be taken during the procedure.

Laparoscopy describes a procedure that is performed with a tiny camera placed inside the abdomen. If possible, laparoscopy will be done instead of laparotomy.

Why the Procedure Is Performed

Your health care provider may recommend a laparotomy if imaging tests of the abdomen, such as x-rays and CT scans, have not provided an accurate diagnosis.

Exploratory laparotomy may be used to help diagnose and treat many health conditions, including:

Risks

Risks of anesthesia and surgery in general include:

Risks of this surgery include:

Before the Procedure

You will visit with your provider and have medical tests before your surgery. Your provider will:

Tell your surgeon or nurse if:

During the week before your surgery:

On the day of surgery:

Outlook (Prognosis)

You should be able to start eating and drinking normally about 2 to 3 days after the surgery. How long you stay in the hospital depends on the severity of the problem. Complete recovery usually takes about 4 to 6 weeks.

References

Landmann A, Bonds M, Postier R. Acute abdomen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 46.

Young S, Tsai S. Management of periampullary cancer. In: Cameron JL, Cameron AM, eds. Current Surgical Therapy. 14th ed. Philadelphia, PA: Elsevier; 2023:589-599.



Review Date: 3/31/2024
Reviewed By: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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