(Abdominal Exploration; Laparotomy, Exploratory)
by Ricker Polsdorfer, MD
Exploratory laparotomy is an open surgery of the abdomen to view the organs and tissue inside.
Reasons for Procedure TOP
This procedure is done to evaluate problems in the abdomen.
Problems that may need to be examined with an exploratory laparotomy include:
The procedure may also be done to stage cancer or to biopsy the area.
Possible Complications TOP
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
What to Expect TOP
Prior to Procedure
Leading up to your procedure:
You may be given:
Description of the Procedure TOP
A long incision will be made in the skin on your abdomen. The organs will be examined for disease. The doctor may take a biopsy of suspicious tissue. The tissue can be examined under a microscope. If the problem is something that can be repaired or removed, it will be done at this time. The opening will be closed using staples or stitches.
How Long Will It Take? TOP
About 1-4 hours
How Much Will It Hurt? TOP
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Average Hospital Stay TOP
You will be in the hospital several days. If you have problems, you may need to stay longer.
Post-procedure Care TOP
At the Hospital
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chance of infection such as:
It may take several weeks for you to recover. Your activities will be restricted for the first couple of weeks. Once cleared by your doctor, you can slowly resume normal activity. You may be given a prescription to help with any remaining discomfort. Follow the wound care instructions to prevent infection.
Call Your Doctor TOP
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
American Cancer Society
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Digestive Health Foundation
Abdominal exploration. Mount Sinai website. Available at:
...(Click grey area to select URL)
Updated . Accessed April 3, 2018.
Laparotomy. Better Health Channel website. Available at: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/laparotomy. Updated August 2014. Accessed April 3, 2018.
Laparotomy, exploratory. Encyclopedia of Surgery website. Available at:
...(Click grey area to select URL)
Accessed April 3, 2018.
3/23/2015 DynaMed Plus Systematic Literature Surveillance http://www.dynamed...: Short V, Herbert G, Perry R, et al. Chewing gum for postoperative recovery of gastrointestinal function. Cochrane Database Syst Rev. 2015;2:CD006506.
Last reviewed April 2018 by EBSCO Medical Review Board Daus Mahnke, MD
Last Updated: 3/23/2015
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.