A laparotomy is a surgical procedure that allows access to the abdominal cavity. The procedure involves cutting through the abdominal wall to gain access to the internal female organs.
The most common condition requiring a laparotomy is when multiple fibroids are detected which either encroach on the endometrial cavity and/or distort the outline of the uterine cavity. In most gynaecological situations requiring surgery, a therapeutic laparoscopy is performed.
In many instances a transverse suprapubic skin incision will be made during a laparotomy as it allows adequate access to the abdominal cavity.
Patients undergoing this surgery will have a general anaesthesia and, depending on the number of fibroids in the uterus, operating time is 60 – 120 minutes.
Once the surgery is completed all the organs and structures around them are returned to their correct anatomical position, and the wound is closed. The patient will recuperate in hospital for up to five days and be off work for up to six weeks.