Laproscopic resection?

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hendersonjames
Regular Member


Date Joined Sep 2005
Total Posts : 89
   Posted 2/24/2008 7:45 PM (GMT -7)   
Still in the testing phase, but my GI has suggested I'm probably due for a resection of the TI.
 
She said it can now be done laproscopically, but I'd have to go to the big city hospital (U of Pittsburgh an hour's drive away) whereas  I have a good community hospital only 3 miles away--that could do it open--and this isn't brain surgery. 
 
Has anybody had it done lapro?

WantRelief
Regular Member


Date Joined Feb 2006
Total Posts : 261
   Posted 2/24/2008 8:30 PM (GMT -7)   
Mine was supposed to be laproscopic but when the doc got inside of my abdomen with his camera he realized I had a grapefruit sized mass of inflammatory tissue at my TI so he had to convert to open abdominal surgery.  I knew going into surgery that this was a possibility but I was still shocked when I woke up in recovery and they told me what had happened.  And to be honest, the surgery was a piece of cake compared to dealing and living with the active crohns disease for the last three years.  I would do it again in a heartbeat.
31year old female
CD of Terminal Illeum and Rectum Diagnosed 12/04
Unable/Unwilling to use immunosuppressents due to Melanoma history in 2000.
Illeocolonic Resection 1/08  (18 inches of terminal illeum, illeocecal valve, right colon and appendix)
Current Meds: Pentasa, Fosomax, Iron, Vitamin b12 injections, Vicodin, Flagyl


Gloriousm84
Regular Member


Date Joined Nov 2007
Total Posts : 114
   Posted 2/24/2008 8:46 PM (GMT -7)   
Although mine could have been laproscopic I chose to have an open surgery because it has been around longer, and their seems to be less complications afterwards. I have known some people that have had bad experiences with laproscopic, but with that being said I have also known a few who have had success. I would go for open though since it is near your home, your comfortable there. Best of Luck
Diagnosed: 2003, age 18 (had issues with it since I was 12)
Meds for crohns: Remicade every 6 weeks, 6-mp, Nexium (GERD)
Other medical issues: Hereditary Spherocytosis (hemolytic anemia) iron deficient anemia, polyarthralgia, ovarian cysts, Migraines, GERD
Surgeries: Spleen, Gallbladder, Tonsils, Adenoids, foot of terminal Ileum, Appendix, Ileocecal valve, bit of colon


ozonehole
Veteran Member


Date Joined Dec 2006
Total Posts : 559
   Posted 2/24/2008 9:36 PM (GMT -7)   
I think the biggest issue with all of these surgeries is the possibility of adhesions developing later. Here's an interesting article about "adhesion barriers:"

http://www.adhesions.org/pt7barriers.htm

Not sure if it's worth discussing with your surgeon, but just a thought. I've gone under the knife 3 times, and adhesions really scare me.

regards,
Robert
Crohn's since 1988
3 resections


smile1967
Regular Member


Date Joined Jan 2008
Total Posts : 174
   Posted 2/24/2008 10:18 PM (GMT -7)   
I had lapro surgery done two weeks tomorrow actually. I too had to go to large city hospital 2hrs away, but for me it was the best care and the best of the best surgeon team that mattered. I have been suffering from pain due to strictures in my TI and surgery was the best and only choice.
I too, went into surgery knowing that they might have to do it open but fortunately I woke up and they had successfully done the surgery lapro. They removed half my cecum, appendix, terminal ileum and ileocecal valve. I had 3 blockages turns out. I do not about the other but for me recovery since surgery has been slow but steady. I have a 3 inch incison below my bellybutton, a small half inch incision in pubic area and another small incision high up on my belly. I can't imagine how much more painful a larger incision would be....we use our stomach muscles for almost everything! I wish you well whichever procedure you choose. Keep us posted and take care.
40 yr old wife and mom to two boys 8 & 10
symptoms since the age of 19
officially diagnosed with crohn's Nov.2006
meds: pentasa 500mg 2 x 3day
(just went off Entocort 3mg 2/day)
Surgery booked for Feb.11th- TI resection(stricture)


Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 2/24/2008 11:33 PM (GMT -7)   
I would always advise going with a laparoscopic surgery if it is offered as an alternative to open surgery. The risks of complications are substantially lower overall, and the recovery time is reduced dramatically. The less time you have to be under general anesthesia, the better.
Co-moderator - IBS Forum


Chasity102304
Regular Member


Date Joined Nov 2007
Total Posts : 165
   Posted 2/25/2008 5:54 AM (GMT -7)   
I was supposed to have the laparoscopic surgery in July for my first resection (TI). But once they opened me up, it was alot worse than suspected, so they cut me all the way open. I knew it was an option, but was shocked when I woke up with a 7 inch incision and 26 staples down my stomach. The recovery and discomfort from the incision was probably more annoying than anything else. As mentioned above, the surgery sucked, but was MORE THAN WORTH IT considering how I suffered for 2 years before becasue of my Crohn's. I would opt for the lap but be prepared for open...that's just my opinion. You have to do what is right for you and what you feel most comfy with. GOOD LUCK!
Fibromyalgia DX March 2003
Crohn's DX Jan 2006 (Symptoms since 96-Misdiagnosed as "female" problems-Major flare during pregnancy in 05 which lead to DX)
1st resection July 2007
Currently on Remicade/8 weeks


RedAdmin
Veteran Member


Date Joined Aug 2003
Total Posts : 1017
   Posted 2/25/2008 12:15 PM (GMT -7)   
I had the open surgery and if I had a choice I would NOT do it again. If you can avoid being cut open from above your navel to below your hair line I would recommend it. My hubby had his gall bladder out by laparoscopic and it was much easier to deal with 5 little cuts than the 1 really big one. I know the surgerys are not the same, but what i would not have given to have had a choice.

Good luck and may you make the right choice for you.
Red (Lee Ann)
 Happy Bunny 
      When life gives you lemons, squirt juice in your enemy's eyes.


kimberlayn
Regular Member


Date Joined Jul 2007
Total Posts : 239
   Posted 2/25/2008 3:00 PM (GMT -7)   
I had my gallbladder removed laparoscopically 10 years ago. I had a resection done less than 6 months ago. They tried to do it laparoscopically , I have a small incision that ended up not being used in the middle of my belly. I also have a 9 inch one that went around my belly button and up 2 inches. The recovery from the gallbladder was a breeze (10 years younger and healthier) and the recovery from the open surgery was hard mainly because of the abdominal muscles being cut. It took about 4 months to be able to use them fully without pain. But in the end it was worth it. My surgeon was fairly confident he would be able to do it laparoscopically but got a surprise once he got in there. So you might want to keep that in mind when deciding whether its worth such travel time and no guarantee of what will happen when you get there. Good luck and keep us posted!
diagnosed 11/06, solving the mystery of years of on/off abdominal pain. No more "it's just a virus". 33f with 2 boys, a lovable dog, and a wonderful husband. 150 mg Imuran, bowel resection 9/07. Tapered off entocort 1/08 and feeling the effects with fatigue, pain, D.


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 2/25/2008 6:35 PM (GMT -7)   
Hi I had open and 23 staples the scar is very fine nad not very noticeable. I did get infection and drained some after the staples were removed a small hole was there and I am getting it dresses every 3 days now it is starting to close up my surgery will be 5 weeks tomorrow. I went threw the surgery good and could not have lapo because I was to bloated . I had an epidoral and no pain for 3 days and no pain meds after that ,that was when they removed the epidoral. Out of the hospital in 7 days and now doing hosework and feeling great. Hope you make the decision that is best for you and keep in touch. lol gail

gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 2/25/2008 6:37 PM (GMT -7)   
Hi I had open and 23 staples the scar is very fine nad not very noticeable. I did get infection and drained some after the staples were removed a small hole was there and I am getting it dresses every 3 days now it is starting to close up my surgery will be 5 weeks tomorrow. I went threw the surgery good and could not have lapo because I was to bloated . I had an epidoral and no pain for 3 days and no pain meds after that ,that was when they removed the epidoral. Out of the hospital in 7 days and now doing hosework and feeling great. Hope you make the decision that is best for you and keep in touch. lol gail

Barbz
Veteran Member


Date Joined Jun 2005
Total Posts : 848
   Posted 2/26/2008 6:53 AM (GMT -7)   
I had lapro and it was so easy and the healing time is much less. I would drive the hour to have it done. good luck. Barb
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