maternal laparotomy
Surgical opening of the maternal abdomen to access the gravid uterus for fetal intervention.
Full Definition
The surgical incision through the maternal abdominal wall to gain access to the pregnant uterus for fetal surgical procedures. This approach is used for open fetal surgeries and some complex minimally invasive procedures. The incision type (vertical midline, Pfannenstiel, or modified) depends on gestational age, fetal position, and planned intervention. Post-operative considerations include wound healing, infection prevention, and monitoring for preterm labor.
Usage
Usage note: Specify incision type and location for clarity in operative reports.
In Context
- "Maternal laparotomy was performed through a low transverse incision for fetal access." — Operative procedure note
- "The maternal laparotomy site showed good healing at the two-week follow-up visit." — Post-operative clinic note