ABSTRACT
Indications Open exploratory laparotomy is indicated where a surgically correctable problem
may exist in the abdomen. The most common indications for open exploratory lapa rotomy include conditions of acute intra-abdominal infection and acute traumatic injuries. Open exploration is particularly useful when questions arise concerning the integrity or the condition of the bowel. Whereas C T can provide very accurate anatomic information regarding retroperitoneal and solid organ structures, it is much less reliable for evaluation of the bowel. Diagnostic laparoscopy may be considered because it is less invasive; however, it also has lower diagnostic accuracy for evaluating the intestine. An advantage of open laparotomy is the ability to address the primary problem, whatever it might be.
