exploratory laparotomy
Emergency surgical procedure involving opening the abdomen to identify and address life-threatening injuries or conditions.
Full Definition
An urgent surgical intervention where the abdomen is opened through a midline incision to systematically examine intra-abdominal organs for injury, bleeding, or pathology. This procedure is commonly performed in trauma patients with hemodynamic instability or peritoneal signs when the source of injury is unclear. The surgeon inspects all four quadrants of the abdomen, controls hemorrhage, and repairs damaged structures. It is a cornerstone procedure in damage control surgery protocols.
Usage
Usage note: Often abbreviated as 'ex-lap' in surgical notes but should be spelled out in formal documentation.
In Context
- "The trauma surgeon performed an emergent exploratory laparotomy after the patient developed signs of hemoperitoneum." — Surgical procedure note
- "Indications for exploratory laparotomy included penetrating abdominal trauma with hemodynamic instability." — Clinical assessment documentation