ISSN 2398-2942      

Laparotomy: midline

icanis
Contributor(s):

Kyle Mathews

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).

Requirements

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Preparation

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Procedure

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Aftercare

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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 (3), 74-77 Wiley Online Library.

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