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Doctor insights on: Advise On Laproscopy Laprotomy

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Dr. Charles Breaux Dr. Breaux
Surgery - Pediatric
35 years in practice
University of Alabama School of Medicine
1

1
What's the difference between a laparotomy and laparoscopy?

What's the difference between a laparotomy and laparoscopy?

They are different: ... Surgical approaches to the abdomen. A laparotomy involves a relatively large open incision into the abdominal cavity thru which the surgeon works with his/her hands inside. With laparoscopy, small incisions are made thru which tubes called trocars are placed; scopes and instruments are then passed thru the trocars by which the surgeon operates with his/her hands outside the abdomen. ...Read more

Dr. Loki Skylizard
625 doctors shared insights

Laparoscopy (Definition)

Laparoscopy involves placement of a small camera-scope into the abdominal cavity, most often at the belly button. This allows us to see and surgically rx many abdominal and pelvic diseases. This is combined with distinction of the abd cavity with co2 gas to create more space to work. This usually requires a general anesthetic, yet most people can go ...Read more


Dr. Katherine Sutherland Dr. Sutherland
Gynecology
39 years in practice
Stanford University School of Medicine
2

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Have a cyst on ovary that is 8 cm, will I need laparoscopy or laparotomy?

Have a cyst on ovary that is 8 cm, will I need laparoscopy or laparotomy?

More information?: It is always reasonable to start with a laparoscopy, but information can be gathered pre-operatively to decide if the ovary is more likely to be benign and removable with laparoscopy or malignant and needing laparotomy. Favorable signs include a simple vs. Complex cyst, no fluid in the abdomen, and the values of biochemical markers such as ca-125 and he4. ...Read more

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Dr. Robert Uyeda Dr. Uyeda
Surgery
41 years in practice
Boston University School of Medicine
3

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I have a 8cm cyst inleft ovary andmyce125 is 856 U/ml.in this situation is laparoscopy possible or i need laparotomy surgery?

I have a 8cm cyst inleft ovary andmyce125 is 856 U/ml.in this situation is laparoscopy possible or i need laparotomy surgery?

Anything is possible: but this sounds like a serious condition. Please follow your doctor's advice about the best way to handle this. If you need a second opinion, consult with a gyn oncologist. ...Read more

Dr. Brian Nguyen Dr. Nguyen
Obstetrics & Gynecology
7 years in practice
Warren Alpert Medical School of Brown University
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Diagnosed w/ stage 4 endometriosis in 2010. Had a laparoscopy in 2010 & a laparotomy in 2011. My ultrasounds are clear but still have pain (sometimes debilitating). Should I have another laparoscopy?

Diagnosed w/ stage 4 endometriosis in 2010. Had a laparoscopy in 2010 & a laparotomy in 2011. My ultrasounds are clear but still have pain (sometimes debilitating). Should I have another laparoscopy?

Hormone suppression: Laparoscopy and laparotomy will be sufficient to get rid of adhesions and masses in the belly, however surgery will never get rid of the route cause of your endometriosis which is the presence and production of estrogen. You would need to remove both ovaries or be placed on medications to suppress your hormones to see effects on the endometriosis. Lupron (leuprolide) injections. ...Read more

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Dr. David Earle Dr. Earle
Surgery
27 years in practice
University of Arizona College of Medicine
5

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Thanks for your response. I have another question.which surgery is best for ovary removal, laparoscopy or laparotomy. One of my dr suggest for laparoscopy and another for laparotomy. I'm really confused. And I have no baby . Will it be any problem for co

Thanks  for your response. I have another question.which surgery is best for ovary removal, laparoscopy or laparotomy. One of my dr suggest for laparoscopy and another for laparotomy. I'm really confused. And I have no baby . Will it be any problem for co

Best...: The best procedure is what the doctor feelsost comfortable with. In general, laparoscopic surgery has less pain and recovery, along with less scar tissue inside, this better for the patient, but only if the doctor is experienced and well trained with laparoscopy. Ask if they have passed the Fundamentals of Laparoscopic Surgery (FLS) course offered in the USA, and how experienced they are. ...Read more

Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
6

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Why would an obgyn suggest a laparotomy over a laparoscopy for a 15cmx8.4cmx15.7 pelvic cyst ? I am 20 years old. I'm concerned about my fertility .

Why would an obgyn suggest a laparotomy over a laparoscopy for a 15cmx8.4cmx15.7 pelvic cyst ? I am 20 years old. I'm concerned about my fertility .

That is a big tumor: A cyst of this size has a fairly high risk of being cancerous. Because of that the doctor wants to be able to look around inside all of your belly to make sure that there is no spread of cancer. Ask him to explain why he is proposing to do what he has told you. He could certainly do laparoscopy to start with and convert it into a full laparotomy if he finds any indications that the cyst is cancer. ...Read more

Dr. Kirpal Singh Dr. Singh
Surgery
20 years in practice
State University of New York Downstate Medical Center College of Medicine
7

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18 year old dtr has a 3.4 CM rt ovarian dermoid cyst (mri dx). First gyn will only salvage part of ovary if she does laparotomy. Second dr said laparoscopy- spillage not an issue. How to decide?

18 year old dtr has a 3.4 CM rt ovarian dermoid cyst (mri dx).  First gyn will only salvage part of ovary if she does laparotomy. Second dr said laparoscopy- spillage not an issue. How to decide?

Third opinion : This is a small enough cyst that laparoscopy should be successful. U need to find out how many procedures they do laparoscopically - more the better. Also ask about complication rate. U have to b comfortable with ur surgeon and it doesn't sound like you r at this time. Having one more option might ease ur mind. Try to find someone who does lots of laparoscopy. Good luck. ...Read more

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Dr. John Feola Dr. Feola
Internal Medicine
27 years in practice
Georgetown University School of Medicine
8

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Hi i have avascular cystic lesion consistent with an endometrioma this will require surgery, laparoscopy with possible laparotomy to tackle this and the patency of the fallopian tubes to be checked at the same time. Do i avoid getting pregnant until it

Hi i have  avascular cystic lesion consistent with an  endometrioma  this will require surgery, laparoscopy with possible laparotomy to tackle this and the patency of the fallopian tubes to be checked at the same time. Do i avoid getting pregnant until it

ENDOMETRIOSIS TX: ENDOMETRIOSIS is very difficult to treat if you have an.endomitrioma. It will be extremely difficult to conceive . Get a second opinion on treatment options and make sure you go to the top hospital and top doctor that are available. ...Read more

Dr. M. Hytham Beck Dr. Beck
Surgery
39 years in practice
University of Damascus Faculty of Medicine
9

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Hi i have avascular cystic lesion consistent with an endometrioma this will require surgery, laparoscopy with possible laparotomy to tackle this and the patency of the fallopian tubes to be checked at the same time, do i avoid getting pregnant until rem

Hi i have avascular cystic lesion consistent with an  endometrioma  this will require surgery, laparoscopy with possible laparotomy to tackle this and the patency of the fallopian tubes to be checked at the same time, do i avoid getting pregnant until rem

Yes: yes you should,because if you did get pregnant any surgical intervention had to be postponed until you deliver the baby.not knowing if the cyst is benign or malignant the wailight not be on your side.It really depends on your priority,which is more important to you,getting pregnant or knowing the nature of the cyst and to get rid of it by surgery.discuss your options with your GYN ...Read more

Dr. Ayisha Gani Dr. Gani
Internal Medicine
years in practice
Madurai University, Tirunelveli Medical College
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Hi, I had a laparotomy 10 days ago and the incision was closed using glue. I have minor weeping/discharge and a hard lump below. Can you advise pls?

Hi, I had a laparotomy 10 days ago and the incision was closed using glue. I have minor weeping/discharge and a hard lump below. Can you advise pls?

Operative wound: If the wound has any associated redness and pain need to make sure it is not infected, otherwise keep the wound site clean it will heal. If you not sure have your surgeon look at the wound. ...Read more

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Dr. Alexander Barkan Dr. Barkan
Surgery
20 years in practice
University of London, St. George's Hospital Medical School
11

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What's a laparotomy?

Laparotomy: Opening the abdomen to look inside during surgery. ...Read more

Dr. Stephen Kim Dr. Kim
Surgery - Pediatric
23 years in practice
University of Virginia School of Medicine
12

12
What exactly is a laparotomy?

What exactly is a laparotomy?

Open surgery: Laparotomy is surgery that involves opening the abdominal cavity. ...Read more

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Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
13

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What to do if I have a mini-laparotomy?

What to do if I have a mini-laparotomy?

Surgery: This is still a surgical procedure and requires anesthesia and accordingly you will need to have a preoperative history and physical examination as well as certain laboratory testing. An anesthesiologist may meet with you a day or two before surgery. Make sure you have a good bowel movement before going to the hospital and eat or drink nothing after midnight before surgery, get good night's sleep ...Read more

Dr. Carlos Tache Leon Dr. Tache Leon
Surgery
23 years in practice
National University of Colombia Faculty of Medicine
14

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How long does it take to have a laparotomy?

How long does it take to have a laparotomy?

Depends indication?: Laparotomy means incision in the abdomen. If it is just to look for a problem, like if someone was stabbed, once you have looked if everything is ok you can close in less than 20 minutes. Some complicated surgeries last more than 20 hours. ...Read more

Dr. Paige Gutheil Dr. Gutheil
Family Medicine
15 years in practice
Ohio University College of Osteopathic Medicine
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How soon after a laparotomy can I exercise again?

How soon after a laparotomy can I exercise again?

At least 6 weeks: We usually say about 6 weeks. Only your doctor will be able to clear you based on how you are healing and what exactly was done. ...Read more

Dr. Paige Gutheil Dr. Gutheil
Family Medicine
15 years in practice
Ohio University College of Osteopathic Medicine
16

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How long does it take for mini laparotomy to heal?

How long does it take for mini laparotomy to heal?

At least 6 weeks: We usually say about 6 weeks, but healing continues even after that. Only your doctor will be able to clear you for activities based on how you are healing and what specifically was done. ...Read more

Dr. Gerard Honore Dr. Honore
Fertility Medicine
25 years in practice
Wake Forest University School of Medicine
17

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How soon after a laparotomy can I start to exercise?

How soon after a laparotomy can I start to exercise?

Call and ask: Please call your surgeon about this: many recommend 6 weeks but you should follow the instructions your doctor gives you, no one else. ...Read more

Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
18

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How long does it take for a mini laparotomy to heal?

How long does it  take for a mini laparotomy to heal?

Weeks: Surgical healing depends upon what was done (what was removed) and how it was done (size of incision). Knowing only 1/2 of this, i can generalize and say that most people with a 2-3" abdominal incision will need narcotic pain medicine for less than a week, return to work in 2-3 weeks, and be 100% in~6 wks. Of course, the true expert to answer this question is your surgeon. I hope this helps. ...Read more

Dr. Michelle Gordon Dr. Gordon
Surgery
17 years in practice
Western University of Health Sciences College of Osteopathic Medicine of the Pacific
19

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How should a 5 day post-op laparotomy look?

How should a 5 day post-op laparotomy look?

More information pls: Was the wound closed primarily? Are there staples? Is there drainage from the wound? Is it red? Do you have fever? These are the main things i look for in post-op laparotomy wounds. If you have concern, call your surgeon. ...Read more

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Dr. Paige Gutheil Dr. Gutheil
Family Medicine
15 years in practice
Ohio University College of Osteopathic Medicine
20

20
Anyone ever died during a laparotomy before?

Anyone ever died during a laparotomy before?

Yes: Yes, but keep in mind that a laparotomy is simply the name for a procedure where the skin is incised with a scalpel making a traditional scar to gain access to the abdominal cavity. It is done is many different circumstances including emergently after trauma, cancer surgery, exploratory surgery, etc. Very rare in low risk cases be assured. ...Read more

Dr. Jon Krook
922 doctors shared insights

Laparotomy (Definition)

Laparotomy is abdominal surgery. Often, special enemas are sufficient to treat intussusception. If not, a ...Read more