A member asked:

Have had open appendectomy for rupture and tubal, will i have gallbladder removed w/open surgery since i have lots of scar tissue?

6 doctors weighed in across 4 answers
Dr. Arthur Heller answered

Specializes in Gastroenterology

Depends....: On how much scar tissue, ability and safety of laparoscopy approach, technical skill and experience of surgeon, and ability to get to, maneuver, identify anatomical structures through laparoscope. About 10% of lap approaches get converted to open at time of surgery- can't get there from here safely.

Answered 8/10/2013

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Maybe not.: It depends. If all the scarring is in your lower abdomen, the surgeon may be comfortable attempting a laparoscopic approach with the option to convert to "open" if too much scar tissue is encountered. Plenty of people have lap cholecystectomies after previous appendectomy or gynecologic surgery.

Answered 10/4/2016

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Dr. Loki Skylizard answered

Specializes in Thoracic Surgery

Probably not: It is very common for someone to have successful laparoscopic cholecystectomy (gallbladder) after previous ruptured appendicitis and other surgical procedures. In fact, "cutting" scar tissue/adhesiolysis is very commonly done at hands of skilled/experienced minimally invasive surgeons. You should seek an experienced surgeon. Recommend you seek out younger generation, laparoscopic surgeon.

Answered 5/8/2014

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Probably not: There are various ways to gain access to the abdomen after other surgeries.

Answered 8/11/2013

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