When is Exploratory Laparotomy Indicated in Toxicology?
While not a first-line treatment, exploratory laparotomy is indicated in certain toxicological emergencies. It is considered when:
The patient has ingested a large amount of drug packets (body packing) that pose a threat of rupture and subsequent systemic toxicity. There is evidence of bowel obstruction or perforation due to the ingestion of foreign bodies or caustic substances. Non-surgical methods such as endoscopy have failed or are contraindicated due to the nature of the ingested material.
