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Laparotomy, what does the operation for incisional hernia entail and what are the risks

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In general, there are three different types of laparotomy, and they differ in how the abdominal incision is made

Pope Francis’ surgery will be a laparotomy. This term denotes the collection of all surgical techniques performed by making an incision along the abdominal wall. In general, there are three different types of laparotomy and they differ in how the abdominal incision is made: vertical laparotomies (vertical incisions are of the xipho-umbilical type; umbilical-pubic; high trans-rectal; low para-rectal) transverse laparotomy (horizontal incisions: used in pancreatic and adrenal surgery), oblique laparotomy (oblique incision: Kocher’s subcostal; McBurney’s iliac). (COLOGCTURE: SYMPTOMS – SURGICAL OPERATIONS)

The laparotomy method

The choice of the type of laparotomy to be performed is up to the surgeon who will have to take into account various parameters such as the organ to be operated on; the type of pathology to be treated and its severity; the presence of blood vessels; any complications that may arise during surgery that require the surgeon to make other incisions; simplicity of suturing at the end of the operation. Precisely for this last point, the laparotomy must be performed in such a way that simple and rapid reconstruction of the incised part is possible. In principle, there should be no complications. But when do you decide to do the laparotomy? It can be performed for both diagnostic and therapeutic purposes. In the diagnostic field, exploratory laparotomy is used when other tests (X-rays or CT scans) have not allowed an accurate diagnosis.

How does it take place?

There are three phases. First the opening. The surgeon makes an incision to reach the organ. Second, closure. In this phase, the surgeon proceeds with the reconstruction and suture of the incised area. Finally, the placement of drainages: In some forms of laparotomy, it may be necessary to insert an endo-abdominal drainage at the end of the operation to facilitate the elimination of any physiological or pathological fluids formed. The patient is advised to rest for at least 3-4 weeks and to avoid post-operative physical exertion.

Source: TG 24 Sky

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