A laparotomy is a surgical procedure that opens up your abdomen to expose your organs.
Sometimes, a laparotomy is exploratory — a way for your surgeon to see what’s going on inside your body and possibly take tissue samples in order to diagnose your condition. It can also be therapeutic — a way of treating some conditions. You may need open surgery to remove an organ or to manage a critical condition, or your surgeon may find and fix a problem while they’re exploring.
The term “laparotomy” actually refers to the incision through your abdominal wall that opens up your peritoneal cavity — the cavity that includes your abdomen and pelvis. But you’ll often hear the term used to describe an open exploratory procedure. Other terms for laparotomy include “celiotomy” (an incision into your abdomen) and “peritoneotomy” (an incision into your peritoneal cavity).
Your surgeon might need to explore your peritoneal cavity to find the source of a problem, such as unexplained abdominal pain or internal bleeding, if they haven’t been able to find it on imaging tests. They might need access to everything if they don’t know where the issue is located or how widely it might be spread. They might choose laparotomy over laparoscopy if your condition appears urgent.
Laparotomy is often an emergency procedure, but not always. You might have a laparotomy for a planned or unplanned C-section. Your surgeon might schedule a laparotomy to remove an organ or to remove cancer. It’s also helpful for cancer staging, to find out how far cancer may have spread from its original location. This is a “staging laparotomy.” They also might need to take tissue samples for biopsy..
Yes. Whether it’s an exploratory laparotomy or it’s for a limited purpose, such as removing an organ, opening up your peritoneal cavity is major surgery. The incision will be long and deep, and many layers of your tissue will have to be repaired and healed. You’ll recover in stages, in the hospital and at home. The specifics of your condition and what happens during the procedure will also affect your recovery.
A myomectomy is a procedure to remove uterine fibroids (also known as leiomyomas) from your uterus. Fibroids are growths made up of connective tissue and muscle cells. They can appear inside or outside your uterus. They’re almost always not cancerous (benign). You can have one or many fibroids, and they can vary in size. During a myomectomy, your surgeon removes the fibroids but preserves the tissues in your uterus so that you can become pregnant in the future.
Myomectomy is an alternative to a hysterectomy, which removes your uterus, cervix and fibroids.
Your healthcare provider may recommend myomectomy surgery if you have uterine fibroids that are causing:
The main cause of male infertility is low semen quality.
The treatment depends on the cause of infertility. It may be managed by medicines in some couples or there may be a need of some corrective surgery which is usually done laparoscopically and by Hysteroscopy.
If these methods fail there may be a need of procedures like IUI, IVF.
A surgeon performs an open myomectomy (abdominal myomectomy) through a cut (incision) in your belly (abdomen). The incision may go up and down (vertical) or across (horizontal). This type of procedure may be the best option for extremely large fibroids because the surgeon can see all your pelvic organs. Recovery after an open myomectomy is similar to any other major surgery. Recovery will include:
A few days in the hospital.
Up to six weeks at home before you feel 100%.
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