Laparotomy

Laparotomy is a surgery requiring a major open-belly incision. There is a risk factor for developing adhesive disease in the abdominal and pelvic cavities. Because of this, reproductive surgeons prefer to use laparoscopy, but sometimes laparotomy is necessary.


We prefer horizontal laparotomy incisions for most surgeries because they are stronger and heal better. The difficulty with horizontal incisions is that they cannot be used for large lesions near the belly button or for cancer surgery. The vast majority of reproductive surgery requiring laparotomy can be done with horizontal incisions.


After laparotomy most patients are admitted to the hospital for two or more days, although some patients may be able to go home within 24 hours. After discharge, patients are advised to be out of work for at least two weeks and generally up to six weeks.


Heavy lifting, over 10-15 lbs. for about eight weeks and strenuous abdominal exercise for three months, should be avoided. Most normal activities can be resumed within 2-3 weeks, including desk jobs, preferably on a part time basis. A longer recovery time may be needed if there is a large amount of blood loss during surgery resulting in postoperative anemia.


Laparotomy Pre- and Post-Operative Instructions