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Laparotomy is a surgical procedure that is done by making an
incision in the lower abdomen. This allows the surgeon to see and inspect the
abdominal cavity for structural problems, sites of
endometriosis (implants), and scar tissue (adhesions). The surgeon can then remove implants and
adhesions. The surgeon can also correct structural problems that interfere with
an organ's normal function, such as removing adhesions from the bowel
Many of the procedures that required a laparotomy in the
past can now be done with
laparoscopy, which uses a smaller incision. Ask your
surgeon why laparotomy is required.
Laparotomy is a likely treatment for moderate
chronic female pelvic pain when:
A laparotomy is usually required to remove:
Surgery for chronic female pelvic
pain should be limited to the treatment of surgically correctable problems.
There is no evidence that surgical removal of the reproductive organs relieves
chronic pelvic pain.1
Laparotomy may be needed when scar
tissue binds abdominal organs, impairing their function. But a laparotomy
may cause more scar tissue to form.
It is important that your
surgeon understands your treatment goals. Be sure you discuss your goals, such
as the desire for future pregnancies. If fertility is not your primary
treatment goal, a decision could be made to remove one or both ovaries, one or
both fallopian tubes, or the uterus during a laparotomy.
Complete the surgery information form (PDF)surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.
Andrews J, et al. (2012). Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness Review No. 41 (AHRQ Publication No. 11(12)-EHC088-1). Rockville, MD: Agency for Healthcare Research and Quality. Available online
October 30, 2012
Sarah Marshall, MD - Family Medicine & Kirtly Jones, MD - Obstetrics and Gynecology
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