Paramedian laparotomy

Laparotomy is a surgical intervention with dissection of the anterior abdominal wall in order to access the abdominal cavity and necessary manipulations. A broader concept of this term is laparoscopic surgery. Some surgeons prefer this term. Such an intervention will be called laparoscopic if all incisions are made without penetration into the abdominal cavity. To differentiate between laparotomy and laparoscopic surgery, you need to know a few details about each.

Laparotomy surgery involves quite a few contraindications: abdominal surgery; age over 60 years; obesity, in which up to 70% of subcutaneous fat has a volume of more than 40 cm3; the patient’s inability to undergo surgery due to poor heart function, low blood pressure, blood clotting disorders, gastrointestinal diseases, and respiratory system. Basically, all contraindications can be adjusted, except for absolute contraindications. If, after determining the indications, it is still decided to have surgery, you should not be afraid of it. Having performed a laparotomy, you can recover from it at home without any problems. Patients return to their previous lives within about two weeks and continue to live the life of an ordinary person, but periodically undergo medical monitoring.