OR / Prep · General Surgery · open
You’re scrubbing into
Emergency laparotomy
Why are we operating?
The midline answer to peritonitis, obstruction and bleeding: find the problem, control it, and decide how much surgery this patient can afford today.
Indication: Generalised peritonitis, perforated viscus, uncontrolled intra-abdominal bleeding, obstruction with compromise.
The operation in 4 steps
01Midline entry
02Systematic exploration
03Definitive repair or damage control
04Washout and closure
Watch it done
Laparotomy closure
Mass closure of the midline: suture length to wound length, bite size and spacing.
Source: Conceptual Orthopedics (Dr Jignesh Gandhi) · Watch on YouTube
Conceptual teaching for learners preparing to observe and assist under supervision, not operative instructions. Five minutes from now you should know why this operation exists, what its shape is, and which structures it is designed not to injure.