Definition: The word "abdomino-uterotomy" is a surgical procedure commonly performed to repair an internal hernia, which is an opening in the abdominal wall due to an inguinal hernia (a defect on the side opposite the groin). This can occur when there's a bulge or swelling of the internal organs inside the abdomen. The first stage of this procedure involves removing the affected part of the stomach and pelvis with a scalpel. The second stage involves closing the abdominal opening, which is achieved by using sutures to hold in the skin and allow the tissue below the skin to be removed. Throughout this process, the surgeon may also make small incisions above the hernia site, called fascial inguinal ligations or umbilical suture loops, to aid recovery. These are made so that any new blood vessels can flow freely without causing a stenosis or narrowing of the bowel and other internal organs. The primary goal of this procedure is to prevent further complications like infection, hernias, and leakage from the abdominal wall. It's typically performed under general anesthesia and may take anywhere between 1 hour to an entire day depending on the size of the incision.