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Laparotomy

A laparotomy may be a operation involving an outsized incision through the wall to extend access into the abdomen .

The first successful laparotomy was achieved without anesthesia by Ephraim McDowell in 1809 in Danville, Kentucky. On July 13, 1881, Dr. George E. Goodfellow preserved a miner outside Tombstone, Arizona Territory, who had been shot within the abdomen with a .32-caliber Colt revolver. Goodfellow was ready to function on the person nine days after he was shot when he did the primary laparotomy to treat a bullet wound. The term rises from the Greek word λá¾°πάρá¾± ("lapara"), denotation "the soft a part of the body between the ribs and hip, flank," and therefore the suffix "-tomy" arising from the Greek word "τομή" meaning "a (surgical) cut."

In diagnostic laparotomy (most often mentioned as an exploratory laparotomy and abbreviated ex-lap), the character of the disease is unknown, and laparotomy is deemed the best thanks to classify the cause.

In therapeutic laparotomy, a cause has been recognized (e.g. colon cancer) and therefore the operation is compulsory for its therapy.Usually, only exploratory laparotomy is taken into account a stand-alone surgery . When a selected operation is already deliberate, laparotomy is taken into account simply the primary step of the procedure.

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