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Advise On Laproscopy Laprotomy
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
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
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 moreSee 3 more doctor answers
I have a 8cm cyst inleft ovary andmyce125 is 856 U/ml.in this situation is laparoscopy possible or i need laparotomy surgery?
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 moreSee 1 more doctor answer
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
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
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 moreSee 3 more doctor answers
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 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
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?
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
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
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
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
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