exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy EXPLORATORY LAPAROSCOPY exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy exploratory laparotomy