Laparostic surgery

[brad1025]

Well I was suppose to get a ileostomy on the February 17th. But a lot of things came up. And I had to reschedule it. But my surgeon said he is going to try to do it laparosticly. But if not he will do it openly. I just don't understand what he means by try it laparoscopicly? I have had 4 surgeries now since last year. So what are the chances of me getting the surgery laparosticly? And what are the benefits of it compared to open surgery also does it hurt less lol?

 

[brad1025]

Anyone?

 

[DEmberton]

Much smaller incisions, so less pain and quicker recovery. I have about a 1" scar down from my belly button, and 3 tiny fingernail sized scars around it. Amazing really.

Never had open surgery so I can't compare, but I was out of hospital in 4 days.

 

[brad1025]

Can anyone tell me why he wouldn't be able to do it laparostic?

 

[Clash]

When my son had his resection, an ileocecetomy, the doc said if they ran into problems such as adhesions, larger area than anticipated from testingb or issues unseen by imaging and scopes then he might have to move from laparoscopic to traditional. He said it isn't common because imaging, scopes etc are usually a good accurate tool.

I would assume the same would be so for an ileostomy, if laparoscopic surgery didn't provide a way for him to effectively complete the surgery then a switch to traditional would be needed.

The only time I've seen a surgery go that way was for my husband's gall bladder surgery. His GB was such a mess and swollen that they started with laparoscopic and ended with traditional. He stayed in the hospital a couple days longer.

 

[UnXmas]

Laparoscopic surgeries are supposed to heal faster and hurt less than open surgery, but after many laparoscopic surgeries, I had an open surgery and didn't find it more painful. The scar is bigger, obviously. I'm not sure why some surgeries have to be open, they usually aim for laparoscopic if possible. When I had open surgery, the surgeon told me beforehand that laparoscopic surgery was not an option.

 

[DEmberton]

One thing the surgeon said to me was that I was so thin there wasn't much of an advantage to doing it laparoscopically (but he did anyway). I guess that's to do with the amount of fat and tissue they have to cut through.

 

[UnXmas]

One thing the surgeon said to me was that I was so thin there wasn't much of an advantage to doing it laparoscopically (but he did anyway). I guess that's to do with the amount of fat and tissue they have to cut through.

I'm extremely underweight but my weight hasn't ever been mentioned as a factor for me. I was slightly underweight, moderately underweight and very underweight for my various laparoscopic surgeries, and extremely underweight for my open surgery. Who knows? I always feel that a lot of doctors' decision making isn't mentioned to patients. Not because they're hiding anything, just that there's too much thought going into it for them to explain it all. I think they often go as much by the circumstances of each individual patient, and each surgeon's individual preferences, skills and knowledge as by general guidelines.

 

[brad1025]

Thank you everyone. I just didn't understand what he meant when he said he will try laparosticly. Had me a little confused that's all

 

[2thFairy]

There are a lot of factors that go into making an attempt at laparoscopic surgery or just starting off as a traditional open surgery. Any abdominal surgery I may need will have to be done open due to a belly full of adhesions from multiple surgeries and a bleeding disorder. Many ileostomies can be done laparoscopically without complication, but sometimes the surgery begins that way and then has to be changed to an open procedure. Adhesions from previous surgeries are the number one reason to change directions after beginning laparoscopic surgery, but also there may be difficulties with anatomy that just won't allow a successful operation using scopes. Another factor is if there is a bleed somewhere that cannot be found or easily controlled; at that point a surgeon will convert to an open procedure.

I have assisted in several surgeries that started laparoscopically and then were converted to open, and can tell you that the surgeon will try their best to keep it all laparoscopic, but will convert to open if there is added risk to the patient to proceed.

 

[2thFairy]

I have had 2 laparoscopic surgeries and 5 open surgeries, and have had less pain with the open surgeries. Everybody has a different experience, however.

 

[brad1025]

Thank you so much for examining that to me 2thFairy. I will keep everyone posted after surgery Thursday