A laparotomy is a major abdominal operation in which a large incision is made in the abdominal wall to gain access to the abdominal cavity. It is used to both diagnose and treat a variety of conditions affecting the organs of the abdomen, including complications of pregnancy, abdominal masses, appendicitis, and abdominal organ injury. The procedure begins with the patient being placed under general anesthesia. The area of the abdomen where the incision is to be made is then prepped with antiseptic solution and draped with sterile towels. Once the incision has been made, a laparoscope is inserted through the incision to view the abdominal cavity. The laparoscope is a thin, flexible tube with a camera and light on the end. This allows the doctor to view the organs of the abdomen and to look for any abnormalities that may be present. If necessary, additional instruments may be inserted through the laparoscope to perform procedures such as biopsies, removal of cysts or tumors, or repair of hernias. After the procedure is completed, the instruments are removed and the incision is closed with sutures or staples. Laparotomy is a major surgical procedure and carries a degree of risk. The most common complications include infection, bleeding, and injury to the surrounding organs and tissue. Recovery time is typically a few weeks, depending on the complexity of the procedure and the patient's overall health.