Laparotomy surgery is the general medical term for a surgery performed on the abdomen using the traditional full-size incision, rather than a minimally invasive approach. Another name for this common surgery is a coeliotomy.
A laparotomy uses a full sized incision and the minimally invasive version of the procedure is called a laparoscopy and uses multiple small incisions.
The traditional procedure--laparotomy-- is often referred to as an "open" procedure, because the incision makes an opening that allows the surgeon to visualize the organs, blood vessels, and tissues in the abdominal cavity. The laparotomy uses laparoscopic instruments including a camera inserted into very small incisions to allow the surgeon to visualize the internal structures and surgical instruments.
If the surgery is being done as an emergency, the surgeon may perform a laparotomy versus a laparoscopic laparotomy because it provides a larger view and can be somewhat quicker than the minimally invasive approach. When minutes count, the open approach procedure is typically much faster in the initial phase of surgery.
In the majority of cases the open technique is reserved for circumstances where time is of the essence, the patient is unstable or when the procedure requires a large incision, such as a surgery that requires that a large portion of the intestine be visible and accessible.
During a laparotomy, an individual is under general anesthesia, which means they are asleep. A large incision is made in the abdomen. This incision might be horizontal at the bikini line, and look similar to a C-section (caesarean section) incision, or it may be a vertical incision depending on the nature of your procedure. The incision can be as long as 15 to 20 centimeters in length. Once your surgeon makes the incision, they will be able to view the inside of your abdomen and pelvis. From there, they may remove endometrial-related cysts, called endometriomas, from the ovaries. Ultimately, as much endometriosis is removed as possible during this procedure to hopefully relieve pain and other endometriosis-related symptoms. Bands of tissue (also called adhesions) within the pelvis may be removed in order to help improve fertility.1-3
In some cases, your provider may be removing whole structures from within the pelvis, such as one or both ovaries, the fallopian tubes, or the uterus (called a hysterectomy). However, undergoing a laparotomy for endometriosis often focuses on removing endometriosis only. Your provider or surgeon will talk with you about what they are planning to do in your specific situation.
After your laparotomy surgery in iran, you will need to remain in the hospital for several days. Your healthcare team will monitor you for any changes in your blood pressure, temperature, and pulse. They will also monitor your wound site, to make sure it is clean and dry. You may have a urinary catheter to drain our urine without you needing to get up and go to the bathroom. You will be given pain medications and IV (intravenous) fluids through your arm to keep you comfortable and hydrated. Your healthcare team may help you to get up and move around the following day after your procedure to help prevent blood clots and other post-operation complications.1,2
You will be discharged and sent home with instructions and medications when your healthcare team feels you’re ready. You will be required to follow any instructions given and to monitor yourself for any potential issues. It can take two to six weeks, or more, to get back to your normal activities after surgery. You may need to have a caregiver around at home to help you get around the house and to perform other necessary tasks for you.
There are more risks associated with undergoing a laparotomy surgery in iran for the treatment of endometriosis when compared to laparoscopic (minimally invasive) surgery. This is because a larger incision is made and the procedure has a longer recovery time. Some common risks associated with a laparotomy include, but are not limited to:
Severe bleeding (hemorrhage), including internal bleeding
Injury to internal organs such as the bladder or the bowel that may impact their functioning
Infection (especially operation site infection, pelvic infection, or urinary tract infection)
Development of scarring at the incision site
Numbness near the incision site
Development of a fistula (connection) between the vagina and bladder than requires surgical treatment
Development of blood clots
Development of scar tissue (adhesions) that can cause similar symptoms as before the procedure
2.Type of anesthesia or sedation
3.Other treatments performed in conjunction
4.location of surgery( Shiraz , Tehran or Mashhad )
Cost of laparotomy surgery in iran is vary in different cities. in general Laparotomy cost in iran start from $330.