This type of surgery allows the surgeon to have excellent access to the genital tract.
A laparotomy usually involves a horizontal incision in the pelvic area measuring about 10 cm (ideal for going to the beach without worrying about how it looks).
The horizontal incision ensures that the muscles of the abdominal wall are not damaged, and the surgery will therefore be performed by passing through them.
However, in some cases, a vertical incision that is slightly less aesthetically pleasing may be performed.
Horizontal laparotomy is widely performed in women giving birth by cesarean section; it is also used for certain cancer surgeries, such as those for ovarian cancer, or other pelvic surgeries, such as hysterectomy for a large uterus, myomectomy, and the removal of endometriosis cysts or nodules.