well i had a laproscopic j-pouch done, and i know from my surgeon they like to do the laproscopics only on those relatively young and relatively healthy individuals that come their way. But the rate of complications increase with the laproscope, and if you have had prior surgery and more scar tissue has built up its harder to see with the scope.
If you are unsure you are getting the right care, i would say you should get another opinion, i dont care how close you are to surgery. Its your body and you can back out whenever your little heart desires. This is a major operation, and you want to be comfortable you made the right decision and that you chose the right surgeon...
Docs really dont tell you a whole lot if you dont walk in with a list of questions written down and insist on a sit-down. They get paid for their consults, so you should get the time to ask your questions...its your body...you are letting THEM do work on you.
Hi Mark. I had my colectomy last October and I like you did some investigating. I had the same questions, but I was happy with the responses I got. My op was due to Crohn's disease, and my colon was sent to Clevand (from Atlanta) for testing, so it was better to be in one piece. My surgeon also stated that due to my age, size, and health, the recovery period would be shorter than the average. He was right. I had the op on a Friday, was released to go home the following Tuesday, had the staples removed Tursday, and was released for "light duty" two weeks after the operation. I did have the bag and took it pretty easy, but I did play a round of golf three weeks after the op with a "light" swing pain free. I don't stay in the gym nor do I workout regularly, but I do try to be active and I think I'm still young at 34. I'm 6'3" and weighed about 190 at the time. I didn't even get the Vicodin script filled that he sent home with me. My scar is only about 6 inches. I do have a great surgeon in my opinion. I guess this can have an effect on how things go post-op.
I had my entire colon removed laprascopically. Not all surgeons will do this, for two man reasons--as saramarie said, not all are trained to do this, and also they may not want to if you have had any other abdominal surgeries (the scar tissue from past surgeries can make it difficult to perform lap. surgery.)
I am 27 and had no prior surgeries. I am very happy with my choice--I had about 5 tiny, 1cm long incisions (they have healed and you cannot even see a scar from these), and one about 5 inch "bikini" incision (this goes across the belly, just above the pubic area). I also was sewn shut with dissolving stitches, not staples, since the inscions were so small. Made me happy! Staple removal did not sound pleasant, but I am sure it is not that bad.
Good luck. If you are really interested in lap. surgery, could you find another surgeon (maybe in a nearby city) who would perform one if you are a good candidate?
My 17 year old daughter just had a full incision colectomy on July 3. We consulted with 2 different surgeons who both do the surgery with full incisions. The doctor we decided to go with feels that although there are many surgeries that are done laproscopically, this surgery is best done open because of how diseased the colon may be and because of the number of other organs very close by. I was more concerned about her having a scar than she was. We thought about consulting a surgeon in NYC (highly recommended) who performs it laproscopically (Dr. Milsom) but decided that we were very satified with the quality and experience of the surgeons on Long Island. Besides the NYC doctor does not accept insurance.
The incision isn't as bad as I expected. My daughter still does not mind it much. It is healing nicely and I believe her aches and pains (not bad enough for pain meds) isn't much different than if she had laproscopic surgery. It is still major abdominal surgery.