exploratory laparotomy
Surgical opening of the abdomen for diagnostic purposes when other methods are inconclusive.
Full Definition
Exploratory laparotomy is a surgical procedure performed to investigate abdominal pathology when non-invasive diagnostic methods have been inconclusive or unavailable. Unlike therapeutic laparotomy, the primary purpose is diagnostic, though therapeutic intervention often follows once pathology is identified. This procedure may be performed in emergency settings when rapid diagnosis is critical for patient survival, or electively when imaging studies are inadequate. The term implies that the specific diagnosis is uncertain preoperatively. Modern imaging has reduced the frequency of purely exploratory procedures, but they remain essential in acute care surgery.
Usage
Usage note: Implies diagnostic uncertainty; distinguish from emergency or therapeutic procedures.
In Context
- "Exploratory laparotomy revealed extensive adhesions obscuring the source of small bowel obstruction." — Operative report
- "Given the ambiguous imaging findings, exploratory laparotomy was performed to establish a definitive diagnosis." — Preoperative consultation