👉 In medicine, a kionotomy is a surgical procedure that involves making an incision in the skin at the level of the navel (the middle part of the back), usually around the waistline. The purpose of this operation is to remove a portion of the lower abdominal wall and its contents, such as the liver, spleen, pancreas, and gallbladder. The kionotomy can be performed under general anesthesia or local anesthetic. It's often used in cases where