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Emergency Laparotomy Surgeries

What is Laparotomy Surgeries?

A Laparotomy Surgery is performed to treat abdominal organs and diagnose any problems related to them; which include infections and formation of scar tissue within the abdominal cavity.
A laparotomy is used to treat the following condition:
  • Infections caused due to perforated/inflamed bowel
  • Blocked bowel
  • Internal bleeding
  • Treatment of gallbladder
  • Appendicitis
  • Abdominal injuries caused due to trauma
  • Hollow viscus perforation
  • Intestinal obstruction
  • Obstructed hernia

How is the procedure carried out?

The procedure is performed under the influence of anesthesia, which means once the anesthesia is administered the patient falls asleep and hence will not feel any pain. After this the surgeon makes an incision near the tummy to open the abdomen. Once the abdominal cavity is accessible through the incisions the surgeon then examines the organs in the abdomen and checks any possible defects/irregularities/infections and the immediate measures are taken to repair it. Dr.Kiran specializes in treating hollow viscus perforation, intestinal obstruction, and obstructed hernia using this technique. Hollow Viscus perforation: This condition is life threatening with a 30 to 50% mortality rate. The condition is characterized by loss of gastrointestinal wall integrity with subsequent leakage of enteric contents.

Causes for hollow viscus perforation

Extrinsic bowel obstruction:
  • 1.Gastrointestinal stromal tumors
  • 2.Lymphoma
  • 3.Surgical adhesions
  • 4.Hernia
  • 5.Volvulus

Intrinsic bowel obstruction:
  • 1.Bezoar
  • 2.Crohn disease stricture
  • 3.Appendicitis
  • 4.Intraluminal neoplasm

Toxicological issues:
  • 1.Non-steroidal anti-inflammatories
  • 2.Salicylates
  • 3.Acid/alkali ingestions

Loss of gastrointestinal wall integrity:
  • 1.Peptic Ulcer
  • 2.Crohn disease
  • 3.Tumor lysis syndrome

Gastrointestinal ischemia:
  • 1.Mesenteric ischemia
  • 2.Portal vein thrombosis

  • 1.Salmonella typhi
  • 2.Clostridioides difficile
  • 3.Cytomegalovirus

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.

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“A disorder involving excessive body fat that increases the risk of health problems. Obesity often results from taking in more calories than are burned by exercise and normal daily activities. Obesity occurs when a person's body mass index is 25 or greater. The excessive body fat increases the risk of serious health problems. The mainstay of treatment is lifestyle changes such as diet and exercise”


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