Parul Sevashram’s Case Of Exploratory Laparotomy

Exploratory laparotomy is a surgical procedure that involves creating a big incision in the abdomen to explore and examine the abdominal organs. It is usually performed when a patient has a condition that cannot be diagnosed with non-invasive methods, such as CT scans or ultrasounds.

Reasons for the procedure

• Endometriosis Gallstones
• Cancer of the ovary, colon, pancreas, and liver
  
• Intestine-related hole (intestinal perforation)
  
• Severe appendicitis
• Diverticulitis
• Chronic or acute pancreatitis
• Liver infection
  
• Little areas of infection (retroperitoneal abscess, abdominal abscess, pelvic abscess)
• External uterine pregnancy (ectopic pregnancy)
• Abdominal scar tissue (adhesions)

   

Preparations For The Surgery

• All medications you are taking should be disclosed to your doctor. This covers over-the-counter drugs, prescription drugs, herbal remedies, illegal drugs, herbal remedies, vitamins, and other dietary supplements. For a period of time before the surgery, you might need to stop taking some or all of them.
  
• If you consume alcohol, let your provider know. If you drink a lot, this is quite crucial. Becoming sober too soon poses a serious risk to your life, so tell your provider the truth.
• If you have any allergies or other health issues, let your provider know as well. This covers recent diseases, particularly any issues with bleeding.
  
• If you are instructed to refrain from eating or drinking before surgery, abide by the advice.
  

What can you expect on the day of surgery?

• The majority of exploratory laparotomies are performed as urgent surgery following an accident or injury.
• During surgery, you’ll have your heart, lungs, and other organs examined for potential issues.
• You might have to put on a hospital gown.
• An IV (intravenous) line is inserted into a vein in your arm or hand prior to the start of the procedure. Fluids and medications are provided using this line.
• To keep you pain-free, a general anaesthetic will be administered to you. During the procedure, this medication induces a state that is similar to profound slumber.
  
• To assist with breathing, a tube may be inserted into your neck through your mouth. Also, your body is fitted with monitoring. During the procedure, these monitor your vital signs like heart rate and blood pressure.
• You have a catheter inserted into your bladder. Throughout the procedure, this catheter empties pee from your bladder.
  

What to expect during the surgery?

Laparoscopic exploration is a big procedure. Your heart and lungs will be examined in the hospital to determine whether general anaesthetic is safe to use. Your arm or hand will be used to implant an intravenous (IV) line. Your bodily functions will be observed. Moreover, a breathing tube or catheter may be required.

There are far more people waiting for liver transplants than livers available from deceased donors. The human liver regenerates and returns to its usual size soon after a surgically removed portion of the organ, making living-donor liver transplants viable.

You won’t feel anything because you’ll be unconscious throughout the process.
A lengthy vertical incision will be made on your belly once your skin has been cleaned. The surgeon will then look for injury or illness in your abdomen. A sample of the questionable tissue can be collected for a biopsy. If the issue’s root can be found, surgery may also be an option at this time.

Stitches or staples will have to be used to close the incision. You might only have a short-term drain to let extra fluids drain out.
Very likely, you’ll be in the hospital for several days.

What to expect after the surgery?

• Once you get to recover from the anaesthetic, you will be transported to a room to rest. Your condition will be continuously monitored by nurses. You’ll be sent to another room when you’re more awake and aware.
  
• If necessary, medications are administered to assist in managing discomfort and prevent infection.
  
• You won’t get allowed to eat or drink anything until your bowels begin to function regularly once more. This could take several days.
  
• As soon as you are able, you must stand up and move around. This lessens the risk of blood clots.
• You can also be instructed to undertake breathing exercises. They guard against pneumonia.
• Usually, the urine drain tube is taken out after a few days.
• Your incision’s drain, if it has one, is also taken out.
• After the provider declares that there are no matters of concern, you will be permitted to return home. Set up a ride home with an adult relative or acquaintance.
  
• Make sure you have all the necessary prescriptions and home care instructions before you depart. Moreover, make sure you have the hospital’s or your provider’s phone number. This is in case you experience issues or questions following the procedure.
• For roughly six weeks, refrain from lifting anything more than five pounds. This can help prevent a hernia by giving the tissue time to mend.

   

How did Parul Sevashram Hospital’s Exploratory Laparotomy Help In Removing An Unusual Substance From A Person’s Body?

A young female aged 28 years visited Parul Sevashram Hospital with an untreated problem on the right flank side. On examination and evaluation, the doctors confirmed the presence of a foreign body (some wood-like component) which had fractured the iliac spine.

An expert team of doctors performed the high-risk exploratory laparotomy to remove the foreign body from the important organs involved. During the operation, the foreign body was found in
the retro-peritoneal region, close to the lumbar plexus and external iliac vessels. The surgery was successful, and the patient stay was uneventful.

The team of highly skilled surgeons, ‘Dr. Akshay Sutariya, Dr Nakul Bhatt and Dr Nisarg Parikh’ once again proved their excellence and valour in the field of unusual medical emergencies. Parul Sevashram Hospital has come a long way in the medical field by providing exceptional care and treatment to its patients. The hospital’s dedication to delivering quality healthcare services has enabled it to provide successful treatment and care to patients who require medical attention.

The hospital has also made significant contributions to the medical field by conducting research and utilising advanced technologies, which has resulted in improved patient outcomes. The hospital’s commitment to patient care and innovative medical practices has made it a trusted and reliable institution in the medical field.
So, if you’re looking for ‘apno jaisi seva’ in the medical field, you know where to land- Parul Sevashram Hospital,the best multispeciality hospital in Vadodara!

Written by Parul Sevashram Hospital  |  1  April  2023