Some articles on laparotomic:

Uterine Fibroid - Treatment - Myomectomy
... to lower morbidity rates and faster recovery than does laparotomic myomectomy ... A laparotomic myomectomy (also known as an open or abdominal myomectomy) is the most invasive surgical procedure to remove fibroids ... A particularly extensive laparotomic procedure may necessitate that any future births be conducted by Caesarean section ...