Dr Pieter Swart

A laparotomy is a surgical incision into the abdominal cavity. The procedure may be done for a broad range of indications.

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Why would I need surgery?

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This operation is performed to treat the abdominal organs and aid diagnosis of any problems related to the abdominal organs such as the stomach, liver, intestines, kidneys and the bladder.  A common reason for laparotomy is to investigate abdominal pain, but the procedure may be needed for many reasons. Dr Swart may need to operate to find out the exact cause of your complaint. In many cases, the problem, once it has been identified, can be treated during the surgery.

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What does the surgery involve?

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A laparotomy surgery is performed under general anaesthesia. Dr Swart will make a single incision in the abdomen so that the underlying organs can be viewed. The exposed organs are then carefully examined. Once diagnosed, Dr Swart can treat the issue surgically. Once a laparotomy is complete, the muscle of the sheath and the overlying skin are sutured closed.

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What can I expect after my surgery?

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After a laparotomy you may feel some pain and discomfort, however pain medications will be prescribed to make you comfortable. You will most likely have a small tube passed through your nose to help drain stomach secretions for a day or two while your digestive tract recovers. A urinary catheter may also be inserted to drain urine.  You will be encouraged to mobilize the day after surgery to aid healing and reduce the risk of developing blood clots. Before you are discharged your surgeon will prescribe you medications and inform you how best to care for your wounds. As with any surgery, symptoms of intense pain, high fever, vomiting, bleeding and pus drainage from the incisions should be discussed with your doctor immediately.  Dr Swart will advise you on when you should follow up with him in the rooms.

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