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- Exploratory_laparotomy abstract "An exploratory laparotomy (ex-lap) is the standard of care in various blunt and penetrating trauma situations in which there may be multiple life-threatening injuries, and in many diagnostic situations in which the operation is undertaken in search of a unifying cause for multiple signs and symptoms of disease.The trauma ex-lap is the most comprehensive ex-lap, usually undertaken after evidence of internal bleeding (a positive FAST, DPL, or other overwhelming evidence for internal hemorrhage). A midline incision is carried down to the linea alba and the fascia is incised. The peritoneum is entered and any immediate, life-threatening bleeding is identified and controlled. The lateral, superior, and anterior surfaces of the liver are packed with sponges, and the superior and lateral spaces around the spleen are similarly packed. The bowel is run from the ligament of Treitz to the terminal ileum. The gastrocolic ligament is incised and the lesser sac is explored, including the posterior stomach and the anterior pancreas. The surface of the spleen is examined for evidence of laceration and fracture. The liver is similarly examined. If necessary, Cattell and Mattox maneuvers may be performed to expose retroperitoneal structures. If the duodenum is at risk, a Kocher maneuver may be performed to examine the posterior duodenum and the head of the pancreas.The ex-lap can lead immediately to a number of other procedures, including splenectomy, hepatic resection, repairs of the vena cava, repairs of the aorta, pericardial window, repairs of the iliac arteries or veins, distal pancreatectomy, enterotomy and bowel repair, small bowel resection, left hemicolectomy, right hemicolectomy, pyloric exclusion, gastric diversion, nephrectomy, and the "trauma Whipple."Depending on the stability of a patient following an exploratory laparotomy, the abdomen may either be sutured closed primarily or may be temporarily closed with a vacuum dressing, saline bag, or towel clips to facilitate further non-surgical resuscitation prior to definitive closure.The first documented ex-lap was performed by Frank Zurfley in 1842, on a patient with suspected peritoneal hemorrhage after being run over by a Conestoga wagon.".
- Exploratory_laparotomy wikiPageID "27249020".
- Exploratory_laparotomy wikiPageLength "3079".
- Exploratory_laparotomy wikiPageOutDegree "31".
- Exploratory_laparotomy wikiPageRevisionID "680488214".
- Exploratory_laparotomy wikiPageWikiLink Aorta.
- Exploratory_laparotomy wikiPageWikiLink Bowel_repair.
- Exploratory_laparotomy wikiPageWikiLink Category:Digestive_system_surgery.
- Exploratory_laparotomy wikiPageWikiLink Category:Emergency_medical_procedures.
- Exploratory_laparotomy wikiPageWikiLink Cattell_maneuver.
- Exploratory_laparotomy wikiPageWikiLink Colectomy.
- Exploratory_laparotomy wikiPageWikiLink Diagnostic_peritoneal_lavage.
- Exploratory_laparotomy wikiPageWikiLink Distal_pancreatectomy.
- Exploratory_laparotomy wikiPageWikiLink Duodenum.
- Exploratory_laparotomy wikiPageWikiLink Enterotomy.
- Exploratory_laparotomy wikiPageWikiLink Focused_assessment_with_sonography_for_trauma.
- Exploratory_laparotomy wikiPageWikiLink Gastric_diversion.
- Exploratory_laparotomy wikiPageWikiLink Gastrocolic_ligament.
- Exploratory_laparotomy wikiPageWikiLink Ileum.
- Exploratory_laparotomy wikiPageWikiLink Kocher_maneuver.
- Exploratory_laparotomy wikiPageWikiLink Kocher_manoeuvre.
- Exploratory_laparotomy wikiPageWikiLink Left_hemicolectomy.
- Exploratory_laparotomy wikiPageWikiLink Lesser_sac.
- Exploratory_laparotomy wikiPageWikiLink Ligament_of_Treitz.
- Exploratory_laparotomy wikiPageWikiLink Linea_alba_(abdomen).
- Exploratory_laparotomy wikiPageWikiLink Liver.
- Exploratory_laparotomy wikiPageWikiLink Mattox_maneuver.
- Exploratory_laparotomy wikiPageWikiLink Nephrectomy.
- Exploratory_laparotomy wikiPageWikiLink Pancreas.
- Exploratory_laparotomy wikiPageWikiLink Pancreatectomy.
- Exploratory_laparotomy wikiPageWikiLink Pyloric_exclusion.
- Exploratory_laparotomy wikiPageWikiLink Right_hemicolectomy.
- Exploratory_laparotomy wikiPageWikiLink Segmental_resection.
- Exploratory_laparotomy wikiPageWikiLink Spleen.
- Exploratory_laparotomy wikiPageWikiLink Splenectomy.
- Exploratory_laparotomy wikiPageWikiLink Stomach.
- Exploratory_laparotomy wikiPageWikiLink Suspensory_muscle_of_duodenum.
- Exploratory_laparotomy wikiPageWikiLink Terminal_ileum.
- Exploratory_laparotomy wikiPageWikiLink Trauma_Whipple.
- Exploratory_laparotomy wikiPageWikiLink Vena_cava.
- Exploratory_laparotomy wikiPageWikiLink Venae_cavae.
- Exploratory_laparotomy wikiPageWikiLinkText "exploratory laparotomy".
- Exploratory_laparotomy hasPhotoCollection Exploratory_laparotomy.
- Exploratory_laparotomy name "Exploratory laparotomy".
- Exploratory_laparotomy wikiPageUsesTemplate Template:Digestive_system_procedures.
- Exploratory_laparotomy wikiPageUsesTemplate Template:Infobox_interventions.
- Exploratory_laparotomy wikiPageUsesTemplate Template:Reflist.
- Exploratory_laparotomy wikiPageUsesTemplate Template:Unreferenced.
- Exploratory_laparotomy subject Category:Digestive_system_surgery.
- Exploratory_laparotomy subject Category:Emergency_medical_procedures.
- Exploratory_laparotomy hypernym Standard.
- Exploratory_laparotomy type Article.
- Exploratory_laparotomy type Work.
- Exploratory_laparotomy type Article.
- Exploratory_laparotomy comment "An exploratory laparotomy (ex-lap) is the standard of care in various blunt and penetrating trauma situations in which there may be multiple life-threatening injuries, and in many diagnostic situations in which the operation is undertaken in search of a unifying cause for multiple signs and symptoms of disease.The trauma ex-lap is the most comprehensive ex-lap, usually undertaken after evidence of internal bleeding (a positive FAST, DPL, or other overwhelming evidence for internal hemorrhage).".
- Exploratory_laparotomy label "Exploratory laparotomy".
- Exploratory_laparotomy sameAs m.0bwh4wg.
- Exploratory_laparotomy sameAs Explorativ_laparotomi.
- Exploratory_laparotomy sameAs Q5421351.
- Exploratory_laparotomy sameAs Q5421351.
- Exploratory_laparotomy wasDerivedFrom Exploratory_laparotomy?oldid=680488214.
- Exploratory_laparotomy isPrimaryTopicOf Exploratory_laparotomy.