ISSN 2398-2969      

Laparotomy

Clapis

Introduction

  • Laparotomy (also called celiotomy) is performed for exploratory and diagnostic purposes, to examine the abdominal contents, take biopsies, and for therapeutic purposes.
  • To provide access to the abdomen for gastrointestinal/urogenital surgery.

Print off the Owner factsheet  Caring for your rabbit before and after surgery to give to your clients.

Uses

  • Laparotomy is performed for emergency abdominal surgery such as severe intraabdominal hemorrhage.
  • To perform diagnostic biopsy of abdominal organs, eg kidneys, liver.
  • Intestinal obstruction, intussusception.
  • Gastric foreign bodies, trichobezoars Trichobezoars (hairballs).
  • Gastrotomy Gastrotomy.
  • Routine ovariohysterectomy Ovariohysterectomy.
  • Ovariohysterectomy to treat uterine disease.
  • Castration of cryptorchid bucks Castration
  • Caesarean section Caesarean section.
  • Removal of bladder calculi Urolithiasis Cystotomy.
  • Nephrotomy and nephrectomy Kidney: nephrectomy.
  • Neoplasia.
  • Peritoneal lavage.

Advantages

  • Diagnosis of underlying abdominal disease.
  • Biopsy collection from abdominal organs.
  • Provide therapeutic treatment in acute conditions.

Disadvantages

  • Post-operative adhesions.
  • Possible wound dehiscence.
  • Developmental effects in fetuses (after general anesthesia and laparotomy in pregnant does).

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Hernani B D, Barros P H, Tastaldi L et al (2020) Biomechanical and adhesion comparison of linea alba prophylactic reinforcement with coated and uncoated three-dimensional T-shaped mesh in rabbits. Acta Cir Bras 35 (10), PubMed.
  • Ávila Filho S H, Dias Ferreira K et al (2019) Comparison between poliglecaprone and chitosan absorbable sutures in laparorrhaphy and cecorrhaphy in rabbits. J Biomed Mater Res B Appl Biomater 107 (6), 2102-2108 PubMed.
  • Di Girolamo N, D'Ovidio D, Del Duca V et al (2019) Surgical resolution of uterine prolapse in three pet rabbits. J Small Anim Pract, PubMed.
  • Van der Veeken L, Van der Merwe J, Devroe, S et al (2019) Maternal surgery during pregnancy has a transient adverse effect on the developing fetal rabbit brain. Am J Obstet Gyne 221 (4), 355-e1 PubMed.
  • Jones K, Case J B, Evans B, Monnet E et al (2017) Evaluation of the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice. JAVMA 250 (7), 795-800 PubMed.
  • Telles de Sousa, Candido-dos-Reis F J, Garcia S B et al (2002) Adhesion formation after uternie horn resection in rabbit model: comparative study of laparoscopic procedure vs laparotomy. Gynaecol Endo 11 (6), 365-369 ResearchGate.

Other sources of information

  • Fossum T W (2007) Surgery of the Abdominal Cavity. In: Small Animal Surgery. 3rd edn. Mosby Elsevier, USA. pp 317. ISBN: 978-0323044394.
  • Richardson V (2000) Rabbits, Health, Husbandry and Disease. Blackwell Scientific, UK.
  • Jenkins J R & Brown S A (1993) A Practitioner's Guide to Rabbits and Ferrets. American Animal Hospital Association, USA.

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