(Abdominal Exploration; Laparotomy, Exploratory)
How to Say It: LAP-uh-ROT-uh-mee
by Cynthia M. Johnson, MA
Exploratory laparotomy is an open surgery of the belly to view the organs and tissue inside.
Reasons for Procedure
This surgery is done to find the cause of problems, such as:
The surgery may also be done to stage cancer or to biopsy the area.
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
What to Expect
Prior to Procedure
The surgical team may meet with you to talk about:
You may be given:
Description of the Procedure
A long incision will be made in the skin on the belly. The organs will be viewed for signs of health problems. The doctor may take a biopsy of tissue for testing. Any problem that can be repaired or removed will be done. The opening will be closed using staples or stitches. A bandage will be placed over the area.
How Long Will It Take?
About 1 to 4 hours
Will It Hurt?
Pain and swelling are common in the first few weeks. Medicine and home care can help.
Average Hospital Stay
You will be in the hospital several days. If you have problems, you may need to stay longer.
At the Hospital
Right after the procedure, the staff may give you medicine to treat pain.
During your stay, staff will take steps to lower your chance of infection, such as:
You can also lower your chance of infection by:
It may take several weeks for the incision and muscles to heal. Activities will be limited for the first few weeks.
Call Your Doctor
Call the doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help 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)
Accessed August 13, 2020.
Hildebrand DR, Ben-Sassi A, et al. Modern management of splenic trauma. BMJ. 2014 Apr 2;348:g1864.
Laparotomy. Better Health Channel website. Available at: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/laparotomy. Accessed August 13, 2020.
Splenic injury and rupture. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/splenic-injury-and-rupture. Accessed August 14, 2020.
3/23/2015 DynaMed Plus Systematic Literature Surveillance https://www.dyname...: 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 March 2020 by EBSCO Medical Review Board James P. Cornell, MD