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Laparoscopy VS Open surgery

This is the traditional operation procedure where a large incision is made to repair or replace an organ or tissue from the body. Open surgery is a major procedure where the surgeon will use a scalpel to make an incision that could be size from 8 to 12 inches to gain access to the organ. Open surgery instruments are used to repair the damage in the organs. For example, a surgeon may use open surgery instruments such as surgical staplers to remove an organ, cutting through tissues or even join two structures.

Laparoscopic surgery is a surgical technique in which access devices (trocars) are inserted into the abdomen through small (less than one centimeter) incisions. Through these trocars, laparosope, long and narrow instruments are inserted. The surgeon uses these instruments to manipulate, cut, and suture/staple tissue.

The biggest difference between open vs laparoscopic surgery is the size of the incision. Why is the size of the incision important, patient may ask.

The answer is simple: the bigger the incision, the longer it takes to heal. The smaller the incision, the lower is the pain and risk for infection.

Benefits of open surgery: Open surgery is traditional surgery that is ideal for chronic illnesses. For example, a heart or kidney transplant can be done only through open surgery. Since the incisions are large, it gives the surgeon more access to the organs.

Benefits of laparoscopic surgery: The biggest benefit of laparoscopic surgery is that it is minimally invasive and therefore less painful. They heal faster and do not leave big scars too. Because the incisions are small, patients are not likely to lose a lot of blood during the procedure.

After laparoscopy, patient may feel groggy and nauseated. These are common side effects of the general anaesthesia and will pass quickly. A nurse will monitor the patient for a few hours. When patient is up and able to eat drink and pass urine the the patient is ready to go home. Most people go home on the same day, Some people stay in the hospital overnight especially if had an operative laparoscopy.

Patient must not drive for 24 hours after diagnostic laparoscopy and at least 2 weeks after operative laparoscopy. Need someone to take patient home and be with patient for 24 hours after surgery. It is common to experience bloating and pain in abdomen for a few days after operation. Sometimes the pain may also affect near shoulder,This is a common side effect of the gas used in laparoscopy. Simple painkillers such as paracetamol and ibuprofen can be taken for this. Patient can take shower within 24 hours of laparoscopy and can remove dressings in a week. More dressings are not needed, simply dressing to keep the wounds clean and dry.

Patient should feel ready to return to normal day to day activities within 5 days. It is advisable to take a minimum of 3 days off work after diagnostic laparoscopy and 1 weeks after operative laparoscopy depend on each individuals.

The symptoms of endometriosis can vary from patient to patient, the severity of pain can be mild to severe and does not always indicate the degree of the condition.

The basic symptoms of endometriosis is pelvic pain, often associated with menstrual period. Female with endometriosis typically have sever menstrual pain compare to normal pain. Other common symptoms:

  • Fever above 100.4°F (38°C)
  • Chills
  • Bright red vaginal bleeding or vaginal bleeding that soaks more than 1 pad per hour
  • A smelly discharge from the vagina
  • Trouble urinating or burning when you urinate
  • Severe pain or bloating in your abdomen
  • Redness, swelling, or drainage at your incision site
  • Shortness of breath or chest pain
  • Nausea and vomiting

Symptoms are likely to be cyclical as it is a chronic condition. Beyond the physical, it can also interfere with psychological wellbeing.