canis - Articles
Laparotomy: midline
Synonym(s): Celiotomy
Introduction
- Access to abdominal (also potentially thoracic and pelvic) cavity.
Uses
- Treatment of various lesions (almost all abdominal organs can be exposed optimally).
- Investigation when other options are unavailable or inconclusive.
Advantages
- Access to pelvic organs: extension via pubic symphysiotomy.
- Access to thoracic organs: extension via sternotomy or diaphragmatic incision.
- Allows full assessment of entire abdomen.
- Fast and usually avascular approach.
- Can improve access to craniodorsal abdomen with paracostal extension (rarely indicated).
Alternative techniques
- Flank: left or right flank Laparotomy: flank.
- Paracostal.
- Paramedian.
Decision taking
Criteria for choosing test
- Always briefly discuss specific surgical risks before surgery with the owner.
- Clear advice on possible adverse sequelae is more effective before surgery and if given in writing.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Rosin E & Richardson S (1987) Effect of fascial closure technique on strength of healing abdominal incisions in the dog. A biomechanical study. Vet Surg 16 (4), 269-272 PubMed.
- Rosin E (1985) Single layer, simple continuous suture pattern for closure of abdominal incisions. JAAHA 21 (6), 751-756 VetMedResource.
- Crowe D T Jr. (1978) Closure of abdominal incisions using a continuous polypropylene suture - clinical experience in 550 dogs and cats. Vet Surg 7 (3), 74-77 Wiley Online Library.