Traditional approach to all surgery is by open technique
In recent days popularity of minimally invasive surgery, made this approach less preferable by patients as well as surgeons.
How ever open surgical technique is always basic of all other approach. Surgeon should master of open technique before embarking upon other minimally invasive technique.
Still there are many indications of open abdominal approach for surgeries.
We consider open surgery when ….
Previous history of surgery by open technique 3 -4 times.
Patient is unfit from aesthesia point of view for laparoscopic or robotic surgery
Patient requires multi organ surgery with blood vessels reconstruction
Patient abdomen precludes entry of laparoscope