Surgery in 2 Weeks

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Carnival Huckster
Regular Member


Date Joined Oct 2009
Total Posts : 159
   Posted 12/29/2009 12:07 PM (GMT -7)   
The docs got the results of my MRI and agreed that surgery must be done (strictures are very narrow with lots of scar tissue.)  I will lose between 30 - 60 cm (1-2 ft) of small bowel depending on whether or not strictureplasty is possible.  If they do only a resection with no strictureplasty, I thought it would be best if they went in via laparoscopy (small incision) but the docs seem to think that it must be done via laparotomy (open surgery.)  My strictures are concentrated in the jujunum (mid small bowel.) I was wondering if anyone has any information about laparoscopy versus open surgery.  I have sent my surgeon the info -- and he specializes in laparoscopy so it's not like he is avoiding it for his own personal reasons -- so there must be a good reason why he wants to do open surgery instead.  Please let me know if you have any thoughts.

+ 34 year old male
+ Crohn's Disease DX in 1997
+ Recently hospitalized because of ruptured small bowel; docs got it under control but have scheduled resection surgery for early January 2010.
+ Taking Cipro (1000mg / day), Flagyl (1500mg / day), and Entocort (9mg / day) until surgery
+ SCD for past 10 years


pimfram
Veteran Member


Date Joined May 2009
Total Posts : 506
   Posted 12/29/2009 12:13 PM (GMT -7)   
I had an open resection a week ago. The surgeon said it's easier to see exactly what's going on when it's oven versus laproscopic. For mine, at least, he wanted to make sure there was only the one area affected, but he said he'd look around to make sure everything else is in good shape. If it's more of an exploratory surgery versus a fixed area, open is the obvious choice. Maybe that is your surgeon's reasoning.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.
Resection December 2009

Amor fati - Nietzsche


Gutsy22
New Member


Date Joined Dec 2009
Total Posts : 7
   Posted 12/29/2009 12:21 PM (GMT -7)   
I had mine done 10 days ago, they tried lap but had to go to open during the procedure. My doc said he had to due to the amount of scar tissue. Also if you have had open in the past it increases your chances of needing open again. Hope this helps and good luck!
I am  a 28/M who was diagnosed with crohns in '99 and have had 2 bowel resections (last one was 12/18/09).
 
I am currently on Remicade, Pentaza, Prevacid, Multi Vitamin and Fish oil.
 
I tried Imuran in the past with little results.


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 12/29/2009 6:31 PM (GMT -7)   
Mine was done in Feb. and was done lapro. I had severe scar tissue and they removed 18". I wish I could post pictures as it is unbelievable in size. The surgeon just made the belly button incision bigger to accomodate the removal.
Either way I wish you luck and a fast recovery.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Precription Folic Acid, Multivitamin, 1000mg Calcium, Vitamin D, Probiotics, Pepcid Complete, Questran,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 12/30/2009 7:22 AM (GMT -7)   
Many times doctors try to do the surgery via laprascope but because of excessive damage or scar tissue that have to convert to open. I am thinking the location and damage you are showing is why the open will be required. Hope your surgery leads to a long long remission. And be sure you take maintainence meds afterwards so you don't have to have a repeat anytime soon.

Good luck
Gail*Nanners*
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

lamb61
Veteran Member


Date Joined Jan 2005
Total Posts : 1719
   Posted 12/30/2009 9:27 AM (GMT -7)   
I'm thinking like Nanners, that it's related to scar tissue & location. I'm having a resection of my old resection site in 2 weeks and it's planned laproscopic but I've been warned he might have to do an open incision for those reasons.

Good luck with your surgery, hope it brings you some relief!

Lorraine
 


Carnival Huckster
Regular Member


Date Joined Oct 2009
Total Posts : 159
   Posted 12/30/2009 6:06 PM (GMT -7)   
The doc just emailed me and said that because I'd recently had a perforation that lap was just too dangerous. Thanks all for your responses.

+ 34 year old male
+ Crohn's Disease DX in 1997
+ Recently hospitalized because of ruptured small bowel; docs got it under control but have scheduled resection surgery for early January 2010.
+ Taking Cipro (1000mg / day), Flagyl (1500mg / day), and Entocort (9mg / day) until surgery
+ SCD for past 10 years

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