Question:
What determines if you will have Open Rny or Lap Rny ?
I will be going to my first consultation tomorrow (2-5), and I really can't take 6 weeks off from work for Open RNY. I need to know what determines if you get Lap or Open? Thanks... — Cheryl_J (posted on February 4, 2002)
February 4, 2002
Your BMI, higher LAP bmis are more difficult and require specialized
equiptement. Your surgeons skills, how many laps HE HAs done. Many surgeons
have their own personal guidelines that vary all over the place. Some
require a minimum pre op loss to qualify for lap.
— bob-haller
February 4, 2002
My surgeon says scar tissue from previous surgeries will also be a
consideration.
— csrodriguez
February 4, 2002
My surgeon did both procedures but I chose open for several reasons. He
felt more comfortable with the open procedure. That was the #1 big reason.
Also, he assured me that in his opinion, recovery time was no longer for
open than it was for lap. I can't argue there -- I was back to work the
day after the staples came out (2 weeks)!
Good luck, whichever you choose.
— Pam S.
February 4, 2002
Thank you for all your responses.. I guess I am just nervous about
tomorrow's meeting.. Thanks again...
— Cheryl_J
February 4, 2002
Laps have almost a ZERO chance of getting a incisional hernia, opens 30%. I
walked 1.5 miles a week post op from surgery and returned to work part time
just 9 days post op. Although its my own bus=iness and I did just what I
had to. Took it easy for 3 weeks. You will do fine! POST OP IS THE PLACE TO
BE.
— bob-haller
February 4, 2002
Ask your surgeon what's best for you and why. Also ask him
about the hernia rate that comment keeps being made but apparently there is
no documentation to back it up and my surgeon said it wasn't true. In fact,
I had an incisional hernia from my lap gallbladder removal so anyone can
get them if you lift too heavy of things in the weeks following surgery. I
had a two year old whem I had my gallbladder done and lifting her probably
caused it. I'm 16 days Open RNY postop and plan to return to work Monday I
am more tired than I thought I would be but I'm stronger everyday. There
are more serious risks with Lap then hernia's and my doctor requires an
extra day in the hospital. He said the position of everything doesn't lend
itself well to Lap but he does do both if you are not high risk because
patients request it. The surgery takes longer and he said that always
increases risks too. If you would please post what your surgeon says after
you talk to him it may be useful to other people this question comes up a
lot.
— Candace F.
February 4, 2002
Talk with your surgeon and see what s/he thinks is the best option for you.
There are many factors that come into play when determining type of
surgery. For me it was a no brainer, I had to have open as I had already
had two previous laps. Preferably, I would have chose open anyways. I
would much rather the doctor have a good view on what he is working with
when it comes to a surgery as important as this one. Just remember that is
only my opinion and take it for what it is worth! Good Luck let me know
how it goes! Amy
— purdue_1993
February 7, 2002
Well, my consultation meeting went well. Dr. Rose specializes in Lap
procedures and has done over 400 surgeries. She is very knowledgeable and
her statistics are great. She said since I am healthy I should have no
problems with the Lap procedure. She also said that there is a less than
1% chance of getting a hernia. Thank you for all your help.
— Cheryl_J
September 27, 2004
Usually your doctor recommends the best procedure for you and your
situation. I would ask your physician. My friend that had the Open RNY,
was only off work 3 weeks. She followed the doctors' instructions
precisely and had no issues.
— Angel S.
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