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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 Laparotomy: paracostal.
- Paramedian Laparotomy: 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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