Laparotomy. Medical search

Incision into the side of the abdomen between the ribs and pelvis.

General or unspecified injuries involving organs in the abdominal cavity.

A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.

Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.

Pathological processes consisting of the union of the opposing surfaces of a wound.

Opening or penetration through the wall of the INTESTINES.

A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.

Washing out of the peritoneal cavity. The procedure is a diagnostic as well as a therapeutic technique following abdominal trauma or inflammation.

That portion of the body that lies between the THORAX and the PELVIS.

Accumulations of blood in the PERITONEAL CAVITY due to internal HEMORRHAGE.

Pathological development in the ILEUM including the ILEOCECAL VALVE.

Surgery performed on the female genitalia.

Injuries caused by impact with a blunt object where there is no penetration of the skin.

The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.

A condition with trapped gas or air in the PERITONEAL CAVITY, usually secondary to perforation of the internal organs such as the LUNG and the GASTROINTESTINAL TRACT, or to recent surgery. Pneumoperitoneum may be purposely introduced to aid radiological examination.

Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.

Methods to repair breaks in abdominal tissues caused by trauma or to close surgical incisions during abdominal surgery.

Pathological processes involving the PERITONEUM.

Excision of the uterus.

INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs.

Wounds caused by objects penetrating the skin.

Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.

A type of ectopic pregnancy in which the EMBRYO, MAMMALIAN implants in the ABDOMINAL CAVITY instead of in the ENDOMETRIUM of the UTERUS.

Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).

Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)

Conditions in which increased pressure within a limited space compromises the BLOOD CIRCULATION and function of tissue within that space. Some of the causes of increased pressure are TRAUMA, tight dressings, HEMORRHAGE, and exercise. Sequelae include nerve compression (NERVE COMPRESSION SYNDROMES); PARALYSIS; and ISCHEMIC CONTRACTURE.

A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.

Pathological development in the JEJUNUM region of the SMALL INTESTINE.

The surgical construction of an opening between the colon and the surface of the body.

Sensation of discomfort, distress, or agony in the abdominal region.

Surgical procedure involving either partial or entire removal of the spleen.

Penetrating wounds caused by a pointed object.

A form of PERITONITIS seen in patients with TUBERCULOSIS, characterized by lesion either as a miliary form or as a pelvic mass on the peritoneal surfaces. Most patients have ASCITES, abdominal swelling, ABDOMINAL PAIN, and other systemic symptoms such as FEVER; WEIGHT LOSS; and ANEMIA.

Disruption of structural continuity of the body as a result of the discharge of firearms.

Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.

Surgery performed on the digestive system or its parts.

Concretions of swallowed hair, fruit or vegetable fibers, or similar substances found in the alimentary canal.

Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force.

An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).

Deliberate introduction of air into the peritoneal cavity.

Tomography using x-ray transmission and a computer algorithm to reconstruct the image.

General term for CYSTS and cystic diseases of the OVARY.

A potentially life-threatening condition in which EMBRYO IMPLANTATION occurs outside the cavity of the UTERUS. Most ectopic pregnancies (>96%) occur in the FALLOPIAN TUBES, known as TUBAL PREGNANCY. They can be in other locations, such as UTERINE CERVIX; OVARY; and abdominal cavity (PREGNANCY, ABDOMINAL).

Protrusion of tissue, structure, or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernia may involve tissues such as the ABDOMINAL WALL or the respiratory DIAPHRAGM. Hernias may be internal, external, congenital, or acquired.

An abnormal twisting or rotation of a bodily part or member on its axis.

A form of intestinal obstruction caused by the PROLAPSE of a part of the intestine into the adjoining intestinal lumen. There are four types: colic, involving segments of the LARGE INTESTINE; enteric, involving only the SMALL INTESTINE; ileocecal, in which the ILEOCECAL VALVE prolapses into the CECUM, drawing the ILEUM along with it; and ileocolic, in which the ileum prolapses through the ileocecal valve into the COLON.

Accumulation of purulent EXUDATES beneath the DIAPHRAGM, also known as upper abdominal abscess. It is usually associated with PERITONITIS or postoperative infections.

A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.

A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include UMBILICAL HERNIA, incisional, epigastric, and spigelian hernias.

Pathological processes involving any part of the UTERUS.

A congenital abnormality characterized by the outpouching or sac formation in the ILEUM. It is a remnant of the embryonic YOLK SAC in which the VITELLINE DUCT failed to close.

Pathological processes of the OVARY.

Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).

Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.

A segment of the COLON between the RECTUM and the descending colon.

Radiographic study of the lymphatic system following injection of dye or contrast medium.

Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.

A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.

Tumors or cancer of the PERITONEUM.

Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.

Obstruction of the flow in the SPLANCHNIC CIRCULATION by ATHEROSCLEROSIS; EMBOLISM; THROMBOSIS; STENOSIS; TRAUMA; and compression or intrinsic pressure from adjacent tumors. Rare causes are drugs, intestinal parasites, and vascular immunoinflammatory diseases such as PERIARTERITIS NODOSA and THROMBOANGIITIS OBLITERANS. (From Juergens et al., Peripheral Vascular Diseases, 5th ed, pp295-6)

Tumors or cancer of the OVARY. These neoplasms can be benign or malignant. They are classified according to the tissue of origin, such as the surface EPITHELIUM, the stromal endocrine cells, and the totipotent GERM CELLS.

Tumors or cancer in the JEJUNUM region of the small intestine (INTESTINE, SMALL).

A twisting in the intestine (INTESTINES) that can cause INTESTINAL OBSTRUCTION.

The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM.

Acute inflammation of the APPENDIX. Acute appendicitis is classified as simple, gangrenous, or perforated.

The region in the abdomen extending from the thoracic DIAPHRAGM to the plane of the superior pelvic aperture (pelvic inlet). The abdominal cavity contains the PERITONEUM and abdominal VISCERA, as well as the extraperitoneal space which includes the RETROPERITONEAL SPACE.

Multiple physical insults or injuries occurring simultaneously.

A followup operation to examine the outcome of the previous surgery and other treatments, such as chemotherapy or radiation therapy.

Surgical removal of the GALLBLADDER.

Tumors or cancer in the ILEUM region of the small intestine (INTESTINE, SMALL).

Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).

Radiographic visualization of the body between the thorax and the pelvis, i.e., within the peritoneal cavity.

The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.

Tumors or cancer of the UTERUS.

The valve, at the junction of the CECUM with the COLON, that guards the opening where the ILEUM enters the LARGE INTESTINE.

A condition in which functional endometrial tissue is present outside the UTERUS. It is often confined to the PELVIS involving the OVARY, the ligaments, cul-de-sac, and the uterovesical peritoneum.

Elements of limited time intervals, contributing to particular results or situations.

A benign tumor derived from smooth muscle tissue, also known as a fibroid tumor. They rarely occur outside of the UTERUS and the GASTROINTESTINAL TRACT but can occur in the SKIN and SUBCUTANEOUS TISSUE, probably arising from the smooth muscle of small blood vessels in these tissues.

A layer of the peritoneum which attaches the abdominal viscera to the ABDOMINAL WALL and conveys their blood vessels and nerves.

A malignant disease characterized by progressive enlargement of the lymph nodes, spleen, and general lymphoid tissue. In the classical variant, giant usually multinucleate Hodgkin's and REED-STERNBERG CELLS are present; in the nodular lymphocyte predominant variant, lymphocytic and histiocytic cells are seen.

The most common (>96%) type of ectopic pregnancy in which the extrauterine EMBRYO IMPLANTATION occurs in the FALLOPIAN TUBE, usually in the ampullary region where FERTILIZATION takes place.

Pathological processes in any segment of the INTESTINE from DUODENUM to RECTUM.

Acute hemorrhage or excessive fluid loss resulting in HYPOVOLEMIA.

Pathological developments in the CECUM.

Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)

Accumulation of purulent material in tissues, organs, or circumscribed spaces, usually associated with signs of infection.

Surgical creation of an external opening into the ILEUM for fecal diversion or drainage. This replacement for the RECTUM is usually created in patients with severe INFLAMMATORY BOWEL DISEASES. Loop (continent) or tube (incontinent) procedures are most often employed.

Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.

Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression.

The period of confinement of a patient to a hospital or other health facility.

Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS, external and internal oblique muscles, transversus abdominis, and quadratus abdominis. (from Stedman, 25th ed)

A membrane of squamous EPITHELIAL CELLS, the mesothelial cells, covered by apical MICROVILLI that allow rapid absorption of fluid and particles in the PERITONEAL CAVITY. The peritoneum is divided into parietal and visceral components. The parietal peritoneum covers the inside of the ABDOMINAL WALL. The visceral peritoneum covers the intraperitoneal organs. The double-layered peritoneum forms the MESENTERY that suspends these organs from the abdominal wall.

Inanimate objects that become enclosed in the body.

Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.

Situations or conditions requiring immediate intervention to avoid serious adverse results.

TUBERCULOSIS that involves any region of the GASTROINTESTINAL TRACT, mostly in the distal ILEUM and the CECUM. In most cases, MYCOBACTERIUM TUBERCULOSIS is the pathogen. Clinical features include ABDOMINAL PAIN; FEVER; and palpable mass in the ileocecal area.

A protrusion of abdominal structures through the retaining ABDOMINAL WALL. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of PERITONEUM and abdominal contents. Abdominal hernias include groin hernia (HERNIA, FEMORAL; HERNIA, INGUINAL) and VENTRAL HERNIA.

The fold of peritoneum by which the COLON is attached to the posterior ABDOMINAL WALL.

Creation of an artificial external opening or fistula in the intestines.

Methods which attempt to express in replicable terms the extent of the neoplasm in the patient.

Surgical removal of the vermiform appendix. (Dorland, 28th ed)

A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)

Diseases of the uterine appendages (ADNEXA UTERI) including diseases involving the OVARY, the FALLOPIAN TUBES, and ligaments of the uterus (BROAD LIGAMENT; ROUND LIGAMENT).

Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).

Bleeding or escape of blood from a vessel.

Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues.

An abscess located in the abdominal cavity, i.e., the cavity between the diaphragm above and the pelvis below. (From Dorland, 27th ed)

The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM.

Forcible or traumatic tear or break of an organ or other soft part of the body.

Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.

The duration of a surgical procedure in hours and minutes.

The type of DIAPHRAGMATIC HERNIA caused by TRAUMA or injury, usually to the ABDOMEN.

Infection occurring at the site of a surgical incision.

A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects.

An area occupying the most posterior aspect of the ABDOMINAL CAVITY. It is bounded laterally by the borders of the quadratus lumborum muscles and extends from the DIAPHRAGM to the brim of the true PELVIS, where it continues as the pelvic extraperitoneal space.

Intensive investigation in management of Hodgkin's disease. (1/974)

Ninety-eight patients with clinically localised Hodgkin's disease underwent laparotomy and splenectomy to determine the extent of microscopic spread. In 68 patients the procedure was carried out for untreated disease apparently confined above the diaphragm. Abdominal disease cannot be confidently excluded on the basis of non-invasive investigation at presentation. Clinical assessment of splenic disease was unreliable unless gross splenomegaly was present. Pedal lymphography was accurate in assessing para-aortic and iliac disease but of no value in assessing other intra-abdominal lymph node involvement, including that of the mesenteric lymph node. Trephine bone marrow biopsy findings were normal in all patients before surgery, and only one patient was found to have diseased bone marrow by Stryker-saw biopsy at operation. Liver disease was identified at operation in nine patients, some of whom were asymptomatic with clinically undetectable splenic and nodal disease. Detailed clinical staging failed to detect disease in one-third of patients who underwent laparotomy. These studies show that if radiotherapy is to remain the treatment of choice for disease truly localised to lymph nodes a detailed staging procedure, including laparotomy and splenectomy, remains essential. The value of this potentially curative treatment is considerably diminished in the patient who has been inadequately staged. (+info)

Serum sErbB1 and epidermal growth factor levels as tumor biomarkers in women with stage III or IV epithelial ovarian cancer. (2/974)

Epithelial ovarian cancer (EOC) has a high mortality rate, which is due primarily to the fact that early clinical symptoms are vague and nonspecific; hence, this disease often goes undetected and untreated until in its advanced stages. Sensitive and reliable methods for detecting earlier stages of EOC are, therefore, urgently needed. Epidermal growth factor (EGF) is a ligand for EGF receptor (ErbB1); this receptor is the product of the c-erbB1 proto-oncogene. ErbB1 overexpression is common in human ovarian carcinoma-derived cell lines and tumors, in which overexpression is thought to play a critical role in tumor etiology and progression. Furthermore, ErbB1 overexpression is associated with disease recurrence and decreased patient survival. Recently, we have developed an acridinium-linked immunosorbent assay that detects a approximately 110-kDa soluble analogue of ErbB1, ie., sErbB1, in serum samples from healthy men and women (A. T. Baron, et al., J. Immunol. Methods, 219: 23-43, 1998). Here, we demonstrate that serum p110 sErbB1 levels are significantly lower in EOC patients with stage III or IV disease prior to (P < 0.0001) and shortly after (P < 0.0001) cytoreductive staging laparotomy than in healthy women of similar ages, whereas EGF levels are significantly higher than those of age-matched healthy women only in serum samples collected shortly after tumor debulking surgery (P < 0.0001). We observe that the preoperative serum sErbB1 concentration range of advanced stage EOC patients barely overlaps with the serum sErbB1 concentration range of healthy women. In addition, we show that serum sErbB1 and EGF levels changed temporally for some EOC patients who were surgically debulked of tumor and who provided a second serum sample during the course of combination chemotherapy. Finally, we observe a significant positive association between sErbB1 and EGF levels only in serum samples of EOC patients collected prior to cytoreductive surgery (correlation coefficient = 0.61968; P = 0.0027). These data suggest that epithelial ovarian tumors concomitantly affect serum sErbB1 and EGF levels. In conclusion, these data indicate that serum sErbB1 and EGF (postoperative only) levels are significantly different between EOC patients and healthy women and that altered and/or changing serum sErbB1 and EGF levels may provide important diagnostic and/or prognostic information useful for the management of patients with EOC. (+info)

Management and outcome of patients undergoing surgery after acute upper gastrointestinal haemorrhage. Steering Group for the National Audit of Acute Upper Gastrointestinal Haemorrhage. (3/974)

Most patients with acute upper gastrointestinal haemorrhage are managed conservatively or with endoscopic intervention but some ultimately require surgery to arrest the haemorrhage. We have conducted a population-based multicentre prospective observational study of management and outcomes. This paper concerns the subgroup of 307 patients who had an operation because of continued or recurrent haemorrhage or high risk of further bleeding. The principal diagnostic group was those with peptic ulcer. Of 2071 patients with peptic ulcer presenting with acute haemorrhage, 251 (12%) had an operative intervention with a mortality of 24%. In the non-operative group mortality was 10%. The operative intervention rate increased with risk score, ranging from 0% in the lowest risk categories to 38% in the highest. Much of the discrepancy between operative and non-operative mortality was explainable by case mix; however, for high-risk cases mortality was significantly higher in the operated group. In 78% of patients who underwent an operation for bleeding peptic ulcer there had been no previous attempt at endoscopic haemostasis. For patients admitted to surgical units, the operative intervention rate was about four times higher than for those admitted under medical teams. In patients with acute upper gastrointestinal haemorrhage operative intervention is infrequent and largely confined to the highest-risk patients. The continuing high mortality in surgically treated patients is therefore to be expected. The reasons for the low use of endoscopic treatment before surgery are not revealed by this study, but wider use of such treatments might further reduce the operative intervention rate. Physicians and surgeons have not yet reached consensus on who needs surgery and when. (+info)

Endogenous nitric oxide in the maintenance of rat microvascular integrity against widespread plasma leakage following abdominal laparotomy. (4/974)

1. The role of nitric oxide (NO) in the maintenance of microvascular integrity during minor surgical manipulation has been evaluated in the rat. 2. The NO synthase inhibitors, NG-nitro-L-arginine methyl ester (L-NAME, 5 mg kg(-1), s.c.) and N(G)-monomethyl-L-arginine (L-NMMA, 50 mg kg(-1), s.c.) had no effect on microvascular leakage of radiolabelled albumin over 1 h in the stomach, duodenum, jejunum, colon, lung and kidney in the un-operated conscious or pentobarbitone-anaesthetized rat. 3. In contrast, in anaesthetized rats with a midline abdominal laparotomy (5 cm), L-NAME (1-5 mg kg(-1), s.c.) or L-NMMA (12.5-50 mg kg(-1), s.c.) dose-dependently increased gastrointestinal, renal and pulmonary vascular leakage, effects reversed by L-arginine pretreatment (300 mg kg(-1), s.c., 15 min). These actions were not observed in anaesthetized rats that had only received a midline abdominal skin incision (5 cm). 4. Pretreatment with a rabbit anti-rat neutrophil serum (0.4 ml kg(-1), i.p.), 4 h before laparotomy, abolished the plasma leakage induced by L-NAME in all the organs investigated. 5. These results indicate that the following abdominal laparotomy, inhibition of constitutive NO synthase provokes vascular leakage in the general microcirculation, by a process that may involve neutrophils. Such effects could thus confound studies on the microvascular actions of NO synthase inhibitors using acute surgically prepared in vivo models. The findings thus suggest that constitutively-formed NO has a crucial role in the maintenance of acute microvascular integrity following abdominal surgical intervention. (+info)

The forgotten child--a case of heterotopic, intra-abdominal and intrauterine pregnancy carried to term. (5/974)

Heterotopic pregnancies are estimated to be less frequent than one in 30,000 if no assisted reproduction technologies are performed. Here we report a case which occurred in Tanzania. An abdominal pregnancy at term was first misdiagnosed as an ovarian tumour and diagnosed on the first post-partum day of the intrauterine fetus, which was delivered spontaneously. The abdominal pregnancy was then treated by laparotomy and removal of the placenta. The fetus was alive and healthy. The follow-up of the twins was normal. (+info)

Pancreatic insulin-secreting neoplasm (insulinoma) in a West Highland white terrier. (6/974)

A West Highland white terrier was evaluated because of persistent hypoglycemia and an acute episode of collapse. A pancreatic insulin-secreting neoplasm (insulinoma) was diagnosed on the basis of clinical signs, serum glucose levels, serum insulin levels, abdominal ultrasonography, and exploratory laparotomy with histologic evaluation of neoplastic tissue. (+info)

Serum concentrations of tramadol enantiomers during patient-controlled analgesia. (7/974)

AIMS: Tramadol, a centrally acting analgesic, is used as a racemate containing 50% of a (+)- and 50% of a (-)-enantiomer. This paper presents the pharmacokinetic results of postoperative patient-controlled analgesia using (+)-tramadol, (-)-tramadol or the racemate. METHODS: Ninety-eight patients recovering from major gynaecological surgery were treated in a randomised, double-blind study with (+)-tramadol, (-)-tramadol or the racemate. Following an i.v. bolus up to a maximum of 200 mg, patient-controlled analgesia with demand doses of 20 mg was made available for 24 h. Prior to each demand, the serum concentrations of the enantiomers of tramadol and its metabolite M1 were measured in 92 patients. RESULTS: The mean concentrations of tramadol during the postsurgery phase were 470+/-323 ng ml-1, 590+/-410 ng ml-1 and 771+/-451 ng ml-1 in the (+)-, racemate- and (-)-group, respectively ((+) vs (-), P<0.05); the mean concentrations of the metabolite M1 were 57+/-18 ng ml-1, 84+/-34 ng ml-1 and 96+/-41 ng ml-1 in the (+)-, racemate- and (-)-group, respectively ((+) vs (-) and (+) vs racemate, P<0.05). The mean concentrations of (+)-tramadol and (+)-M1 were lower in the racemate- than in the (+)-group (P<0.05), those of (-)-tramadol and (-)-M1 were lower in the racemate than in the (-)-group (P<0.05). In the racemate group, the mean serum concentrations of (+)-tramadol were higher than those of (-)-tramadol (P<0.05), whereas the mean serum concentrations of (-)-M1 were higher than those of (+)-M1 (P<0. 05). CONCLUSIONS: The therapeutic serum concentration of tramadol and M1 showed a great variability. The lowest mean concentrations were measured in the (+)-group and the highest in (-)-group. This is in agreement with the clinical finding that (+)-tramadol is a more potent analgesic than (-)-tramadol. (+info)

Resection-line involvement in gastric cancer patients undergoing curative resections: implications for clinical management. (8/974)

BACKGROUND: Resection-line involvement has been suggested as an important prognostic factor for gastric cancer. METHODS: The relationship between resection-line involvement and outcome was examined in patients undergoing potentially curative resection for gastric cancer. RESULTS: Tumor positive resection-lines were seen in 22 of the 259 evaluable patients (8.4%). Resection-line involvement was associated with tumor location (P = 0.01) and tumor differentiation (P = 0.02). Positive margins were associated with worse survival. However, if both groups of patients are stratified according to lymph node metastases, resection-line involvement determined a shorter survival only in patients with N0 stage disease. CONCLUSIONS: Our data suggest, in the case of positive margins, that re-laparatomy should be considered only for patients with N0 stage disease, while patients with metastatic lymph nodes should be watched closely without the need for a more aggressive surgical approach. (+info)

... and laparotomy is deemed the best way to identify the cause. In therapeutic laparotomy, a cause has been identified (e.g. colon ... In diagnostic laparotomy (most often referred to as an exploratory laparotomy and abbreviated ex-lap), the nature of the ... A laparotomy is a surgical procedure involving a surgical incision through the abdominal wall to gain access into the abdominal ... Goodfellow was able to operate on the man nine days after he was shot, when he performed the first laparotomy to treat a bullet ...

https://en.wikipedia.org/wiki/Laparotomy

During an exploratory laparotomy, a large incision is made vertically in the middle of the abdomen to access the peritoneal ... An exploratory laparotomy is a general surgical operation where the abdomen is opened and the abdominal organs are examined for ... Exploratory laparotomy originated as a technique for the treatment of acute trauma. In 1881, Dr. George E. Goodfellow performed ... In trauma exploratory laparotomy, any immediate, life-threatening bleeding is first identified and controlled. In these cases, ...

https://en.wikipedia.org/wiki/Exploratory_laparotomy

Laparotomy., a clinical lectured delivered at the Hospital of the University of Pennsylvania, University Medical Magazine, ...

https://en.wikipedia.org/wiki/William_Goodell_(gynecologist)

... laparotomy; suture of the perforation. Demonstration neuer Apparate zur Behandlung des Klumpfußes. Z. Orthop. XI, (1904). ...

https://en.wikipedia.org/wiki/Ludwig_Heusner

Packing with radiopaque laparotomy pads allow for the benefit of being able to detect them via x-ray prior to definitive ... Data would suggest that the longer the abdomen is left open from initial laparotomy the higher the rate of complications. After ... Typically the number of packs has been documented in the initial laparotomy; however, an abdominal radiograph should be taken ... Stone HH, Strom PR, Mullins RJ (May 1983). "Management of the major coagulopathy with onset during laparotomy". Annals of ...

https://en.wikipedia.org/wiki/Damage_control_surgery

In these cases, the surgical intervention of a laparotomy was considered to be more damaging than the disease itself. Prior to ... laparotomy". J Reprod Med. 42 (9): 551-8. PMID 9336750. [email protected] (2008-09-15). "Review Article; A comparison ... "Myomectomy - Laparoscopic Versus Laparotomy". Laparoscopyhospital.com. Retrieved 2011-01-02. Page, Barbara. "Nezhat & the Rise ... However, the most important difference was that, when compared to video-laparoscopy, a laparotomy posed more serious, permanent ...

https://en.wikipedia.org/wiki/Camran_Nezhat

A second look laparotomy may be used to assess tumour status in clinical trials, but is not a staple of standard care due to a ... Fertility preserving surgery is one of the few cases where a second look laparotomy is recommended for caution. Platinum-based ... Creasman, W. T. (December 1994). "Second-look laparotomy in ovarian cancer". Gynecologic Oncology. 55 (3 Pt 2): S122-127. doi: ...

https://en.wikipedia.org/wiki/Gynecologic_oncology

Xie's first surgery was an exploratory laparotomy. The United Daily News published a piece detailing the surgery for the public ... The second operation was also an exploratory laparotomy but this time they removed the internal male reproductive organs and ... The piece states,"The operation scheduled for today involves an exploratory laparotomy, followed by a careful examination of ...

https://en.wikipedia.org/wiki/Xie_Jianshun

The Indications for Early Laparotomy in Appendicitis". Ann. Surg. 13 (4): 233-54. doi:10.1097/00000658-189101000-00061. PMC ...

https://en.wikipedia.org/wiki/Charles_McBurney_(surgeon)

Gauderer MW, Ponsky JL, Izant RJ (1980). "Gastrostomy without laparotomy: a percutaneous endoscopic technique". J. Pediatr. ...

https://en.wikipedia.org/wiki/Percutaneous_endoscopic_gastrostomy

Gauderer, Michael W. L.; Ponsky, Jeffrey L.; Izant, Jr., Robert J. (December 1980). "Gastrostomy without laparotomy: a ...

https://en.wikipedia.org/wiki/Therapeutic_endoscopy

Exploratory laparotomy can also be conducted when needed. In most cases, surgical approach is utilised to excise or fuse the ...

https://en.wikipedia.org/wiki/Caudal_duplication

Standard treatment would include surgical exploration via laparotomy. Laparoscopy may be an option if the surgeon is ...

https://en.wikipedia.org/wiki/Gonadoblastoma

... has traditionally been done via a laparotomy; more recently however, laparoscopic salpingectomies have become ...

https://en.wikipedia.org/wiki/Salpingectomy

... this usually consists of laparotomy and bowel resection.[citation needed] Most patients with ischemic colitis recover fully, ...

https://en.wikipedia.org/wiki/Ischemic_colitis

It can be performed by laparotomy or laparoscopy. A small gastric sleeve is created by sectioning the greater curvature of the ...

https://en.wikipedia.org/wiki/SADI-S_surgery

In difficult cases, a laparotomy may be necessary. Statistically, this is the case in about 10 percent of patients. The large ...

https://en.wikipedia.org/wiki/Rectal_foreign_body

Adult worms are rarely seen, but sometimes can be recovered from a laparotomy or autopsy. Microfilariae of M. perstans are ... At times, they can be observed during a laparotomy. M. perstans often occurs with other filarial infections, such as ...

https://en.wikipedia.org/wiki/Mansonella_perstans

He played for laparotomy vaginal way, actively introduced asepsis. Developed methods of surgical treatment of prolapse and loss ...

https://en.wikipedia.org/wiki/Dmitry_Ott

"Gastrointestinal myoelectric and clinical patterns of recovery after laparotomy". Ann. Surg. 211 (6): 777-84, discussion 785. ...

https://en.wikipedia.org/wiki/Electrogastrogram

Laparotomy for other forms of volvulus, especially anal volvulus. "Anatomic Problems of the Lower GI Tract". NIDDK. July 2013. ...

https://en.wikipedia.org/wiki/Volvulus

Advanced pelvic sepsis occasionally requires a lower midline laparotomy. Complicated (perforated) appendicitis should undergo ...

https://en.wikipedia.org/wiki/Appendectomy

... exploratory laparotomy scar, cystostomy, colostomy, and abdominal fistula wounds; closure of complete fistula by use of ...

https://en.wikipedia.org/wiki/Professional_Medical_Film

Surgical interventions can be done by laparotomy or laparoscopy. Non-infertile patients who suffer from severe chronic pain due ...

https://en.wikipedia.org/wiki/Hydrosalpinx

Laparotomy, an open-abdomen procedure, is the traditional surgical procedure; however, in those with presumed early stage ...

https://en.wikipedia.org/wiki/Endometrial_cancer

Laparotomy is considered if the cyst is malignant and too large to remove laparoscopically. A laparotomy is preferred during ... A laparotomy may need to be performed if the cyst is large or more complicated. In some cases, the cyst can be reduced of its ...

https://en.wikipedia.org/wiki/Theca_lutein_cyst

Because laparotomies are more common in those with penetrating trauma than compared to those who experienced a blunt force ... Most of the time, the injury is repaired during laparotomy. Early surgery is important, as diaphragmatic atrophy and adhesions ... Often diaphragmatic injury is discovered during a laparotomy that was undertaken because of another abdominal injury. ... Thoracoscopy is more reliable in detecting diaphragmatic tears than laparotomy and is especially useful when chronic ...

https://en.wikipedia.org/wiki/Diaphragmatic_rupture

A laparoscopy or laparotomy can also be performed to visually confirm an ectopic pregnancy. This is generally reserved for ... There have been cases where ectopic pregnancy lasted many months and ended in a live baby delivered by laparotomy. In July 1999 ... Such a fetus would have to be delivered by laparotomy. Maternal morbidity and mortality from extrauterine pregnancy are high as ... The surgery may be laparoscopic or through a larger incision, known as a laparotomy. Maternal morbidity and mortality are ...

https://en.wikipedia.org/wiki/Ectopic_pregnancy

Laparotomy with salpingectomy is the recommended treatment for ectopic pregnancy. Currently, the only intervention proven to ...

https://en.wikipedia.org/wiki/Prophylactic_salpingectomy

Morgan, K.; Mansker, D.; Adams, D. B. (2010). "Not Just for Trauma Patients: Damage Control Laparotomy in Pancreatic Surgery". ...

https://en.wikipedia.org/wiki/David_B._Adams

... On September 8, 1993, Medical Action Industries, Inc. * (MAI) (Farmingdale ... Any laparotomy sponges, other than those covered by the recall, that are visibly contaminated, moist, or defectively packaged ... Health-care facilities should inspect their inventory of laparotomy sponges, discontinue use of sponges from the affected lots ... New York), announced a voluntary recall of all 300 and 400 Series laparotomy sponges packaged as sterile (lot numbers 100-1434 ...

https://www.cdc.gov/mmwr/preview/mmwrhtml/00021977.htm

Total Mesorectal Excision via Laparotomy. Laparotomy and exploration. A midline incision provides the best access to the the ... Laparotomy and exploration for confirming the stage of the disease and assessing operability on the table ... into the right and upper part of the peritoneum or by delivering it over the right hypochondrium and holding in a laparotomy ...

https://www.medscape.com/answers/1893507-198880/what-is-the-anatomy-of-the-pelvis-relevant-to-performing-total-mesorectal-excision-tme

Growing Use of Radiopaque Laparotomy Sponges In Thoracic Surgical Procedures, Increase In The Number of Cesarean Deliveries, ... Growing Use of Radiopaque Laparotomy Sponges In Thoracic Surgical Procedures, Increase In The Number of Cesarean Deliveries, ... Laparotomy Sponges Market Laparotomy Sponges Demand Laparotomy Sponges Sales Laparotomy Sponges Market Size ... Sales of Laparotomy Sponges Are Projected to Reach a Market Size of US$ 1.6 billion By 2027; Radiopaque Laparotomy Sponges ...

https://www.globenewswire.com/news-release/2022/10/03/2526452/0/en/Sales-of-Laparotomy-Sponges-Are-Projected-to-Reach-a-Market-Size-of-US-1-6-billion-By-2027-Radiopaque-Laparotomy-Sponges-Widely-Used-in-Thoracic-Surgical-Procedures-Report-Fact-MR.html

... is surgery to open up the belly area (abdomen). This surgery is done to find the ... Most exploratory laparotomies are done as emergency surgery after an injury or accident. ... But in many cases an exploratory laparotomy is preferred. Read on to learn more about this procedure. ...

https://baycare.org/health-library/exploratory-laparotomy

... World J ... Objectives: Incisional hernia, a serious complication after laparotomy, is associated with high morbidity and costs. This trial ...

https://pubmed.ncbi.nlm.nih.gov/30824961/

Risk factors of converting to laparotomy in laparoscopic appendectomy for acute appendicitis Tomoyuki Abe,1 Takashi Nagaie,1 ... Risk factors of converting to laparotomy in laparoscopic appendectomy for acute appendicitis. ...

https://www.dovepress.com/risk-factors-of-converting-to-laparotomy-in-laparoscopic-appendectomy--peer-reviewed-fulltext-article-CEG

Emergency laparotomy in infants born at ,26 weeks gestation: a neonatal network-based cohort study of frequency, surgical ... Emergency laparotomy in infants born at ,26 weeks gestation: a neonatal network-based cohort study of frequency, surgical ...

https://fn.bmj.com/content/102/6/F504.citation-tools

... are a frequent complication of midline laparotomies in abdominal surgery. This study was conducted in order to determine the ... Laparoscopy versus laparotomy for FIGO stage I ovarian cancer. Cochrane Database Syst Rev. 2016 Oct 13;10(10):CD005344. ... Elective midline laparotomy closure: the INLINE systematic review and meta-analysis. Ann Surg. 2010 May;251(5):843-56. ... In our study, the incidence of IH after median laparotomy for borderline or ovarian cancer was 18.8%, showing similar rates as ...

https://www.researchsquare.com/article/rs-1020551/v1

... a high quality Laparotomy Sponges Market report is an ultimate solution. The data and information about healthcare industry are ... Based on procedure, laparotomy sponges market is segmented into pre-washed laparotomy sponge, and non-washed laparotomy sponge. ... Laparotomy Sponges Market Segmentation:-. By Types:. Radiopaque Laparotomy Sponges, Traditional Laparotomy Sponges, Radio- ... Based on product, laparotomy sponges market is segmented into radiopaque laparotomy sponges, traditional laparotomy sponges, ...

https://www.pharmiweb.com/press-release/2021-12-17/laparotomy-sponges-market-growth-factors-application-potential-opportunities-by-2028-top-compan

Educators and Students: freely download thousands of medical animations and illustrations when your school library subscribes to the SMART Imagebase.

https://ebsco.smartimagebase.com/abdominal-compartment-syndrome-with-surgical-laparotomy-and-eviseration/view-item?ItemID=73301

Benefits of laparotomy audit revealed at conference. By Mindo - 07th Feb 2018 , 116 views ... Almost 30,000 laparotomies are carried out each year across England and Wales and 24,897 of these were entered into the latest ... The NELA data has allowed the development of a bespoke emergency laparotomy risk assessment tool to predict the risk of 30-day ... given the nature of laparotomies - most patients included in the audit to date were categorised as high-risk. ...

https://www.medicalindependent.ie/in-the-news/latest-news/benefits-of-laparotomy-audit-revealed-at-conference/

We calculated the incidence of postpartum laparotomy after vaginal and cesarean births. Laparotomies were analyzed in relation ... Risk of laparotomy, although small, was considerably elevated in women who gave birth by cesarean section. This should be ... The incidence of postpartum laparotomy in women with SAMM in the Netherlands was 6.0 per 10,000 births. Incidence was 30.1 and ... Compared to vaginal birth, RR of laparotomy after cesarean birth was 16.7 (95% confidence interval [95% CI] 12.2-22.6). RR was ...

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1688-2

We performed two-third PH or sham laparotomy (SL) in Wistar rats to investigate the effect of both procedures on miRNA ... We show that miRNAs are indeed regulated by sham laparotomy and anesthesia in rats. These findings illustrate the critical need ... Werner, W., Sallmon, H., Leder, A. et al. Independent effects of sham laparotomy and anesthesia on hepatic microRNA expression ... Sham laparotomy versus partial hepatectomy in Wistar rats. All experiments were performed after approval of the Berlin ...

https://bmcresnotes.biomedcentral.com/articles/10.1186/1756-0500-7-702

Laparoscopy versus laparotomy for the management of early stage cervical cancer. *Yan-zhou Wang1, ... The repair of injured vessels most frequently required the conversion of laparoscopy to laparotomy. The rates of postoperative ... Comparing robotic surgery with conventional laparoscopy and laparotomy for cervical cancer management. Int J Gynecol Cancer. ... but the risk of requiring a blood transfusion was not significantly different in the laparoscopy and laparotomy groups (OR = ...

https://bmccancer.biomedcentral.com/articles/10.1186/s12885-015-1818-4

SUZHOU SINOMED CO., LTD is a company specilizing in manufacturing and trading gauze, bandage and adhesive dressing. ...

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Marwah S, Khurana P, Dhall JC, Sharma P, Gupta P. Idiopathic tension pneumoperitoneum after laparotomy. Indian Journal of ...

https://imsear.searo.who.int/handle/123456789/64724

"Laparotomy" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical Subject ... Damage control laparotomy utilization rates are highly variable among Level I trauma centers: Pragmatic, Randomized Optimal ... This graph shows the total number of publications written about "Laparotomy" by people in this website by year, and whether " ... Below are MeSH descriptors whose meaning is more general than "Laparotomy".. *Analytical, Diagnostic and Therapeutic Techniques ...

https://profiles.musc.edu/display/96568/

From laparotomy and endoscopic drapes and packs to breast and thyroid drapes, Halyard Health has adaptable systems that offer ... Laparotomy Pack IX. 88248 For the full range of general procedures, weve got you covered. From laparotomy and endoscopic ... Laparotomy Pack IX d Print f Email Your Name. Your Email Address. Destination Email Address. Custom Message (optional). Send ... Laparotomy Drape. 100" x 72" x 124". 1. 89228. 79228. EVOLUTION* 4 Standard Non-Reinforced Surgical Gown, Drop Fold with Towel ...

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Adult mice were subjected to laparotomy, either combined with pain treatment (carprofen or flunixin, 5 mg/kg s/c bid, for 1 day ... In this study, we investigated the use of telemetry to identify indicators of mild-to-moderate post-laparotomy pain. ... In contrast, the group receiving no analgesic treatment after laparotomy demonstrated significant changes in telemetry ... real-time telemetric recordings of heart rate and heart rate variability were indicative of mild-to-moderate post-laparotomy ...

https://bmcvetres.biomedcentral.com/articles/10.1186/1746-6148-3-16

Laparotomy is open abdominal surgery, and may be done if endometriosis is severe and cannot be treated with laparoscopic ... laparotomy. Laparoscopic excision is minimally invasive. The surgery involves making several small abdominal incisions. Your ...

https://www.healthline.com/health/endometriosis/bowel-endometriosis-after-hysterectomy

Garrett Nash is treating Asbestosis, Pericardial Mesothelioma , Peritoneal Mesothelioma, Pleural Mesothelioma, Testicular Mesothelioma To request an appointment with Garrett Nash call us at (435) 200-5326.

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Heres all our videos on Laparotomy , check back often to see the latest videos on gynecology best practices to keep up with ... Gynecologists are most familiar with the Pfannenstiel and midline incisions for laparotomy. The Cherney and Maylard are two ... This video presents perioperative and intraoperative techniques to minimize bleeding at multiple myomectomy by laparotomy. ...

https://cansagevideos.com/category/laparotomy/

Laparotomy: What you should know. What is laparotomy?. Laparatomy is basically a method for abdominal exploration. It is a ... Risks involved in laparotomy. The risks of laparotomy depend on your health condition and reason for the surgery. The possible ... Why is laparotomy performed?. Laparotomy is a surgical diagnostic procedure to examine the organs in the abdominal cavity. It ... How is laparotomy performed?. Laparotomy is a surgical procedure done under general anaesthesia. You will be given the ...

https://hegdehospital.com/laparotomy/

... single incision laparotomy surgery, multi port surgery, wound protector and more. ...

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Αρχική , Ασθενείς , Περιτοναϊκή κοιλότητα , Laparotomy, Exploratory or Staging. Laparotomy, Exploratory or Staging. Posted on ...

https://surgery.gr/laparotomy-exploratory-or-staging/

Exploratory laparotomy may be used to help diagnose and treat many health conditions, including:. *Cancer of the ovary, colon, ... Your health care provider may recommend a laparotomy if imaging tests of the abdomen, such as x-rays and CT scans, have not ... Exploratory laparotomy is done while you are under general anesthesia. This means you are asleep and feel no pain. ...

https://medlineplus.gov/ency/article/002928.htm

", "laparotomy", "endometrial cancer", "comparative". Twenty-six full-text articles were included in the meta-analysis. ...

https://www.archivesofmedicalscience.com/Laparoscopy-and-laparotomy-in-endometrial-cancer-a-meta-analysis,122735,0,2.html

LAPAROTOMY UNDER LOCAL ANAESTHESIA AND NARCOSIS. EMANUEL, L. A. EMANUEL, L. A. Less ...

https://journals.lww.com/surveyanesthesiology/toc/1966/08000

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On September 8, 1993, Medical Action Industries, Inc. * (MAI) (Farmingdale, New York), announced a voluntary recall of all 300 and 400 Series laparotomy sponges packaged as sterile (lot numbers 100-1434) because of fungal contamination of the sponges. (cdc.gov)
Health-care facilities should inspect their inventory of laparotomy sponges, discontinue use of sponges from the affected lots, and return unused sponges to the manufacturer. (cdc.gov)
Any laparotomy sponges, other than those covered by the recall, that are visibly contaminated, moist, or defectively packaged should immediately be reported to FDA's MedWatch Reporting Program, telephone (800) 332-1088. (cdc.gov)
Seoul, Oct. 03, 2022 (GLOBE NEWSWIRE) -- As per the latest industry analysis by Fact.MR, market research and competitive intelligence provider, worldwide demand for laparotomy sponges is forecasted to magnify at a CAGR of 6% from 2022 to 2027. (globenewswire.com)
Laparotomy sponges are extremely absorbent and of a quality that complies with medical and hygienic standards. (globenewswire.com)
Recent advancements in laparotomy sponges such as improved X-ray visibility are boosting market revenue. (globenewswire.com)
In addition, the use of laparotomy sponges has increased due to the rising number of cesarean surgeries performed in hospitals and medical facilities. (globenewswire.com)
The market is anticipated to see several growth opportunities over the coming years due to the growing use of laparotomy sponges by surgeons to manually remove tissues without spreading any infection. (globenewswire.com)
Manual counting, X-ray detection, RFID integration into laparotomy sponges, and barcode detection are a few of them. (globenewswire.com)
The global laparotomy sponges market is predicted to reach US$ 1.6 billion by 2027. (globenewswire.com)
Demand for traditional laparotomy sponges is predicted to increase at a CAGR of 4.6% from 2022 to 2027. (globenewswire.com)
According to Fact.MR, a market research and competitive intelligence provider, demand for laparotomy sponges is projected to increase at a CAGR of 6% from 2022 to 2027. (globenewswire.com)
Laparotomy sponges, also known as absorbent pads, are used in the medical field to remove subdural hematomas surrounding incisions or surgical sites and to absorb excess fluid or blood. (globenewswire.com)
When preparing an emergency room for surgery, laparotomy sponges are utilized in a variety of applications, usually in surgical equipment . (globenewswire.com)
When leaving laparotomy sponges left following surgery, more care must be taken to prevent accidents. (globenewswire.com)
Moreover, the market analysis demonstrates that products such as sterile laparotomy sponges guarantee improved protection against infectious pathogens. (globenewswire.com)
Laparotomy Sponges Market Growth Factors, Application Pot. (pharmiweb.com)
For reaching towards the success at local, regional as well as international level, a high quality Laparotomy Sponges Market report is an ultimate solution. (pharmiweb.com)
Laparotomy sponges market is expected to gain market growth in the forecast period of 2020 to 2027. (pharmiweb.com)
Rising awareness among the patients regarding the benefits associated with the usage of laparotomy sponges will help in the growth of the market. (pharmiweb.com)
The world class Laparotomy Sponges market report is a comprehensive background analysis of the healthcare industry, which includes an assessment of the parental market. (pharmiweb.com)
The market report also contains the drivers and restraints for the Laparotomy Sponges market that are derived from SWOT analysis, and also shows what all the recent developments, product launches, joint ventures, mergers and acquisitions by the several key players and brands that are driving the market are by systemic company profiles. (pharmiweb.com)
Surging volume of patients suffering from abdominal disorders and colorectal cancer, rising number of cesarean birth across the globe, growing geriatric population worldwide, easy availability as well as affordability of the product which will likely to accelerate the growth of the laparotomy sponges market in the forecast period of 2020-2027. (pharmiweb.com)
On the other hand, increasing advancement in technology and rising applications from emerging economies which will further boost new opportunities that will lead to the growth of the laparotomy sponges market in the above mentioned forecast period. (pharmiweb.com)
Adoption of minimally invasive surgeries along with rising number of events of retained surgical instruments are acting as market restraints for the growth of the laparotomy sponges in the above mentioned forecast period. (pharmiweb.com)
Laparotomy sponges market is segmented on the basis of product, sterility, procedure, and end user. (pharmiweb.com)
Based on product, laparotomy sponges market is segmented into radiopaque laparotomy sponges, traditional laparotomy sponges, and radio-frequency identification laparotomy sponges. (pharmiweb.com)
On the basis of sterility, laparotomy sponges market is segmented into sterile laparotomy sponges, and non-sterile laparotomy sponges. (pharmiweb.com)
Based on procedure, laparotomy sponges market is segmented into pre-washed laparotomy sponge, and non-washed laparotomy sponge. (pharmiweb.com)
Laparotomy sponges market has also been segmented based on the end user into hospitals, clinics, multispecialty surgical centers, ambulatory surgical centers, and others. (pharmiweb.com)

Laparotomy sponge production uses both sterilized and non-sterile packaging, giving specialists plenty of options to choose from depending on their needs. (globenewswire.com)
A laparotomy drape is a covering used in surgery to keep a sterile environment. (winnermedical.com)

A laparotomy sponge serves as an absorbent swab used in clinical procedures when abdominal surgery is performed. (globenewswire.com)
The sponge used during laparotomies can come in a variety of sizes and forms. (globenewswire.com)
Key laparotomy sponge providers are attempting to gain a larger portion of the market by introducing technologically innovative products and making enhancements to current ones. (globenewswire.com)
Designed for superior performance and produced according to the most stringent quality controls, every Laparotomy sponge is created knowing that you depend on it to perform. (m2tradingpost.com)

Gynecologists are most familiar with the Pfannenstiel and midline incisions for laparotomy. (cansagevideos.com)
The use of the intraperitoneal tunnel is an effective and safe method of restoring bowel continuity that precludes many of the complications associated with long laparotomy incisions. (jamanetwork.com)
Cesarean delivery is defined as the delivery of a fetus through surgical incisions made through the abdominal wall (laparotomy) and the uterine wall (hysterotomy). (medscape.com)

Histopathologic diagnosis is usually based on premenstrual endometrial biopsy samples or biopsies obtained at laparoscopy or laparotomy (as in this case). (medscape.com)
Randomised-controlled trials comparing the use of 4 % icodextrin solution vs. Ringer's-lactated saline (control) in women of any age undergoing fertility-conserving surgery either by laparoscopy or laparotomy were searched and meta-analysis performed. (bris.ac.uk)
Randomised-controlled trials comparing the use of 4 % icodextrin solution vs. Ringer{\textquoteright}s-lactated saline (control) in women of any age undergoing fertility-conserving surgery either by laparoscopy or laparotomy were searched and meta-analysis performed. (bris.ac.uk)

Exploratory laparotomy is surgery to open up the belly area (abdomen). (baycare.org)
Most exploratory laparotomies are done as emergency surgery after an injury or accident. (baycare.org)
Incisional hernias (IH) are a frequent complication of midline laparotomies in abdominal surgery. (researchsquare.com)
Despite the increasing use of minimally invasive surgery in gynecologic cancer, standard access for management of ovarian cancer is laparotomy, through a midline abdominal incision 2 . (researchsquare.com)
Laparoscopy or minimal invasive surgery is an alternative to laparatomy and is mostly preferred as it involves less risk and low cost. (hegdehospital.com)
The risks of laparotomy depend on your health condition and reason for the surgery. (hegdehospital.com)
Surgery that opens the abdomen is called a laparotomy. (medlineplus.gov)
Laparotomy drape gives surgeons much better access to the abdominal area than they would otherwise have, which leads to faster and more precise surgery. (winnermedical.com)
A laparotomy Drape is a type of surgical drape that is often used during surgery and is placed over the patient's body during a laparotomy. (winnermedical.com)
The use of a laparotomy drape is an important part of any abdominal surgery and can help to ensure a successful outcome. (winnermedical.com)
There are many reasons why a laparotomy drape is useful during surgery. (winnermedical.com)
Finally, using a laparotomy drape can help prevent the movement of the patient's body parts during surgery, which could lead to further complications. (winnermedical.com)
Laparotomy drapes can be used during numerous surgical procedures, including abdominal surgery, breast surgery, hernia repair, and prostate surgery. (winnermedical.com)
In the laparoscopic group, 93% were discharged the day of surgery, versus 46% of those in the laparotomy group. (researchgate.net)
However it is important that the surgery be as complete as by laparotomy or any advantage is lost. (laparoscopyhospital.com)
The successful completion of this operation marks the transition from laparotomy to the "keyhole" minimally invasive surgery in gynecology in The Gambia. (standard.gm)
Doctors said before this surgery, this kind of operations could only be done via laparotomy, which could lead to major trauma and poor outcome that were unacceptable to the patients. (standard.gm)
In the Early Stages (ES) of Borderline Ovarian Tumor (BOT), if surgery without risk of tumor rupture is possible, then laparoscopy with protected extraction is recommended over laparotomy (Grade C). In case of bilateral serous ES BOT treatment with a strategy to preserve fertility and/or endocrine functi. (bvsalud.org)

From laparotomy and endoscopic drapes and packs to breast and thyroid drapes, Halyard Health has adaptable systems that offer maximum flexibility for surgical procedures. (halyardhealth.com)
Doubtless, post-operative pain relief following surgical procedures such as laparotomy would seem to be necessary, but is often omitted as documented in a recent survey [ 1 ]. (biomedcentral.com)

In this study, we investigated the use of telemetry to identify indicators of mild-to-moderate post-laparotomy pain. (biomedcentral.com)
In conclusion, real-time telemetric recordings of heart rate and heart rate variability were indicative of mild-to-moderate post-laparotomy pain and could define its duration in our mouse model. (biomedcentral.com)
He has a history of Crohn's disease and is 24 hours post-laparotomy for small bowel resection & stoma formation. (thebluntdissection.org)

Laparoscopic approach to cryptorchid testicle retrieval should be considered a safe, viable procedure with comparably excellent outcomes to open laparotomy. (researchgate.net)
The right adrenal mass was resected during open laparotomy and the pathohistological examination revealed the diagnosis of an adrenal lipoma. (bioscientifica.com)

An urgent laparotomy and splenectomy were also done after the patient developed severe abdominal compartment syndrome. (ajmc.com)
[4] We report a rare case of recurrent, right BH that presented with acute bowel obstruction and required urgent laparotomy and thoracotomy. (najms.org)

We analyzed outcomes after emergent laparotomy using a mixed-effects logistic model comparing DCL versus definitive surgical management with random effect for study site. (elsevier.com)
Results: Three hundred twenty-nine patients underwent emergent laparotomy: 213 (65%) DCL and 116 (35%) definitive surgical management. (elsevier.com)
After a second-year resident, who had performed six paracenteses as an intern, decided to perform the procedure without the supervision of the overnight hospitalist, the woman experienced bleeding complications and needed to undergo an emergent laparotomy. (ecri.org)

Characterizing the underlying diagnoses for exploratory laparotomies to improve risk-adjustment models of postoperative mortality. (musc.edu)

Retrospective data from patients undergoing midline laparotomy for borderline or ovarian cancer in Hospital del Mar, Barcelona, from January 2008 to December 2019 were collected. (researchsquare.com)
Incidence of IH is high in patients undergoing midline laparotomy for ovarian cancer or borderline ovarian tumor. (researchsquare.com)
We therefore conducted a study in order to determine the efficacy of mesh placement and to assess the optimal fascia suture technique to reduce the IH rate after midline laparotomy in patients with ovarian cancer or borderline ovarian tumors. (researchsquare.com)
A retrospective study including all consecutive patients with a diagnosis of ovarian cancer or borderline ovarian tumor who underwent midline laparotomy was conducted in the Department of Obstetrics and Gynecology at Hospital del Mar, Barcelona, from January 2008 to December 2019. (researchsquare.com)

In this study, laparotomy is defined as a surgical procedure involving an incision through the abdominal wall to gain access into the abdominal cavity other than cesarean section. (biomedcentral.com)

Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial. (bvsalud.org)
SUMMARY BACKGROUND DATA The impact of initial laparotomy versus peritoneal drainage for NEC or IP on the rate of death or NDI in extremely low birth weight infants is unknown. (bvsalud.org)
We conducted the largest feasible randomized trial in 20 US centers, comparing initial laparotomy versus peritoneal drainage . (bvsalud.org)
There was no overall difference in death or NDI rates at 18 to 22â months corrected age between initial laparotomy versus drainage . (bvsalud.org)

Abnormal uterine findings were de Recherche et d'Application en identified in 95.8% of patients attending hysteroscopy at GESHRTH. (who.int)

Laparotomy is a surgical diagnostic procedure to examine the organs in the abdominal cavity. (hegdehospital.com)
Laparotomy is a surgical procedure done under general anaesthesia. (hegdehospital.com)
A laparotomy is a more invasive procedure where a surgeon makes a cut into the abdomen to explore or remove scar tissue. (medlineplus.gov)

Laparotomy drapes are a simple and safe way to prevent the spread of infection and minimize the risk of wound complications. (winnermedical.com)

The NELA data has allowed the development of a bespoke emergency laparotomy risk assessment tool to predict the risk of 30-day mortality. (medicalindependent.ie)
Relative risks (RR) were calculated for laparotomy following emergency and planned cesarean section compared to vaginal birth, excluding laparotomies following births before 24 weeks' gestation and hysterectomies performed during cesarean section. (biomedcentral.com)
Damage-control resuscitation and emergency laparotomy: Findings from the PROPPR study. (musc.edu)
Have you been part of the Emergency Laparotomy Collaborative? (weahsn.net)
The aim of the collaborative is to improve standards of care and outcomes for patients undergoing emergency laparotomy. (weahsn.net)
A 51-year-old Saudi male, with past surgical history of laparotomy that failed to repair BH, presented to the emergency room with severe abdominal pain, vomiting, and hypovolemic shock. (najms.org)
studies with a total of 1199 patients, where they evaluated the ISO rate in patients undergoing emergency laparotomy in whom NPT was used (n=566) vs. control group (standard care, n=633). (bvsalud.org)

Incisional hernia, a serious complication after laparotomy, is associated with high morbidity and costs. (nih.gov)
The preferred approach for elective repair of adult BH is debatable, where surgeons-guided by hernia type and biased by their experience-recommend either laparotomy or thoracotomy. (najms.org)

This video presents perioperative and intraoperative techniques to minimize bleeding at multiple myomectomy by laparotomy. (cansagevideos.com)

We aimed to identify national incidence rates for postpartum laparotomy related to severe acute maternal morbidity (SAMM) in a high-income country and test the hypothesis that risk of postpartum laparotomy differs by mode of birth. (biomedcentral.com)
In this paper, we report national incidence rates of postpartum laparotomy, using a nationwide cohort of women with severe acute maternal morbidity (SAMM), and test the hypothesis that the risk of pregnancy-related laparotomy in the postpartum period differs by mode of birth. (biomedcentral.com)

Although data on laparotomy after vaginal birth are not reported, it has been suggested that the incidence of laparotomy may be higher after cesarean section, since operative birth is associated with a higher risk of maternal morbidity and mortality [ 12 , 13 ]. (biomedcentral.com)

We performed two-third PH or sham laparotomy (SL) in Wistar rats to investigate the effect of both procedures on miRNA expression in liver tissue and corresponding plasma samples by microarray and qRT-PCR analyses. (biomedcentral.com)
We show that miRNAs are indeed regulated by sham laparotomy and anesthesia in rats. (biomedcentral.com)

The study was conducted from April 2006 - March 2017 including cases of re/laparotomy for intraperitoneal bleeding at TUTH, Nepal. (jiomnepal.com.np)

There are a few things to keep in mind when using laparotomy drapes. (winnermedical.com)
Finally, be sure to monitor your patient closely for any signs of infection or adverse effects from the use of laparotomy drapes. (winnermedical.com)

Damage control laparotomy utilization rates are highly variable among Level I trauma centers: Pragmatic, Randomized Optimal Platelet and Plasma Ratios findings. (musc.edu)

She had laparotomy which revealed dilated small bowel, left-sided colon with the collapsed proximal rectum and dense pelvic adhesions. (njghonweb.org)

We calculated the incidence of postpartum laparotomy after vaginal and cesarean births. (biomedcentral.com)
The incidence of postpartum laparotomy in women with SAMM in the Netherlands was 6.0 per 10,000 births. (biomedcentral.com)
Laparotomy was associated with a higher incidence of intraoperative hypotension and hypothermia, compared to the laparoscopic group. (researchgate.net)

The patient underwent elective laparotomy that started with mobilization of the left lobe of the liver to the left hepatic vein. (najms.org)

There were 27 cases of intraperitoneal hemorrhage majorly from 20 abdominal surgeries comprising 12(44.4%) abdominal hysterectomies, 6 (22.2%) laparotomy, 1(3.7%) each of diagnostic laparoscopy and abdomino perineal approach and 7(26%) vaginal hysterectomies. (jiomnepal.com.np)
Le diagnostic et la prise en charge adéquate des lésions intra cavitaires permettent d'am liorer les chances de conception. (who.int)

One ectopic the other was lost during the exploratory laparotomy which would make me never be able to have children again. (rsdadvisory.com)

The prevalence of disorders such as colon cancer, hernias, appendicitis, pancreatitis, and peptic ulcers has also increased significantly, creating greater demand for laparotomy procedures. (globenewswire.com)

Compared to vaginal birth, RR of laparotomy after cesarean birth was 16.7 (95% confidence interval [95% CI] 12.2-22.6). (biomedcentral.com)
Risk of laparotomy, although small, was considerably elevated in women who gave birth by cesarean section. (biomedcentral.com)
Previous studies only address 're-laparotomy' after cesarean section. (biomedcentral.com)

Dr Hare said that the assessment of risk is vital in carrying out procedures on these patients, given the nature of laparotomies - most patients included in the audit to date were categorised as high-risk. (medicalindependent.ie)
We hypothesized that the rates of exploratory laparotomy and nontherapeutic laparotomy (NTL) would be higher in self-inflicted patients. (elsevier.com)
Patients with self-inflicted ASWs had higher rates of laparotomy and NTL. (elsevier.com)

Laparotomy" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (musc.edu)

Background: Damage control laparotomy (DCL) is intended to limit deleterious effects from trauma-induced coagulopathy. (elsevier.com)

I describe a method of reestablishing bowel continuity by anastomosis of an end stoma and mucous fistula without formal laparotomy. (jamanetwork.com)

Your health care provider may recommend a laparotomy if imaging tests of the abdomen, such as x-rays and CT scans , have not provided an accurate diagnosis. (medlineplus.gov)
Diagnosis and appropriate correction of intrauterine anomalies are considered et d'Application en Chirurgie essential in order to increase chances of conception. (who.int)

A laparotomy drape is typically made of two layers of thin, transparent material that can be draped around the abdomen and tightened with snaps or other fasteners to hold it in place. (winnermedical.com)

Anatomy14

Diseases70

Analytical, Diagnostic and Therapeutic Techniques and Equipment34

Phenomena and Processes1

Health Care6

Intensive investigation in management of Hodgkin's disease. (1/974)

Serum sErbB1 and epidermal growth factor levels as tumor biomarkers in women with stage III or IV epithelial ovarian cancer. (2/974)

Management and outcome of patients undergoing surgery after acute upper gastrointestinal haemorrhage. Steering Group for the National Audit of Acute Upper Gastrointestinal Haemorrhage. (3/974)

Endogenous nitric oxide in the maintenance of rat microvascular integrity against widespread plasma leakage following abdominal laparotomy. (4/974)

The forgotten child--a case of heterotopic, intra-abdominal and intrauterine pregnancy carried to term. (5/974)

Pancreatic insulin-secreting neoplasm (insulinoma) in a West Highland white terrier. (6/974)

Serum concentrations of tramadol enantiomers during patient-controlled analgesia. (7/974)

Resection-line involvement in gastric cancer patients undergoing curative resections: implications for clinical management. (8/974)

Laparotomy

Abdominal Injuries

Laparoscopy

Intestinal Obstruction

Tissue Adhesions

Intestinal Perforation

Abdomen, Acute

Peritoneal Lavage

Abdomen

Hemoperitoneum

Ileal Diseases

Gynecologic Surgical Procedures

Wounds, Nonpenetrating

Abdominal Wall

Pneumoperitoneum

Postoperative Complications

Abdominal Wound Closure Techniques

Abdominal Neoplasms

Peritoneal Diseases

Hysterectomy

Peritonitis

Wounds, Penetrating

Surgical Wound Dehiscence

Pregnancy, Abdominal

Colonic Diseases

Sutures

Compartment Syndromes

Ileus

Jejunal Diseases

Colostomy

Abdominal Pain

Splenectomy

Wounds, Stab

Peritonitis, Tuberculous

Wounds, Gunshot

Treatment Outcome

Digestive System Surgical Procedures

Bezoars

Rupture, Spontaneous

Intestinal Fistula

Pneumoperitoneum, Artificial

Tomography, X-Ray Computed

Ovarian Cysts

Pregnancy, Ectopic

Hernia

Torsion Abnormality

Intussusception

Subphrenic Abscess

Omentum

Hernia, Ventral

Uterine Diseases

Meckel Diverticulum

Ovarian Diseases

Suture Techniques

Retrospective Studies

Colon, Sigmoid

Lymphography

Anastomosis, Surgical

Reoperation

Peritoneal Neoplasms

Jejunostomy

Mesenteric Vascular Occlusion

Ovarian Neoplasms

Jejunal Neoplasms

Intestinal Volvulus

Intestine, Small

Appendicitis

Abdominal Cavity

Multiple Trauma

Second-Look Surgery

Cholecystectomy

Ileal Neoplasms

Sigmoid Diseases

Radiography, Abdominal

Drainage

Uterine Neoplasms

Ileocecal Valve

Endometriosis

Time Factors

Leiomyoma