Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 Hello Meena, Lots of people in this group (including me) have had their surgeries done laproscopically. I am unable to understand why a surgeon would recommend an open procedure, unless there really are some medical reasons. Anybody having any comments? Preeti > > Hi Ann > The surgeon i saw recomended open surgery as he has done about 40 of > these in his time and said it is most sucessful. > not one single person has had any problems. > doing an open gives easy access to the lower end of the e. > I look forward to a good grub up!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 , My open myotomy was entered on my left side. I don't even see the scar unless I twist my body around in the mirror (and then you could see a faded 9 incher). Of course having my ribs pulled apart and my lung collapsed was part of the price paid for keeping my front intact. The doctor did not have cosmetics on his mind when he did the surgery, just me for a short time. I don't consider your question superficial though, by any means. In a message dated 7/25/2006 9:50:36 A.M. Eastern Daylight Time, tmrwasden@... writes: ,I had a open myotomy in '95 at the age of 16 I an now 28 I find that yes people stare but mostly I forget the scars are there most people who know me says it looks like I was attacked by a shark or in a knife fight. But more importantly is my husband thought's on it as he is the one who see's my naked the most LOL it doesn't seem to bother him he will even scratch it for me as I seem to get an itch under the skin from the scar. My point is why let it bother you if the scar is all that is there and it means you can eat and swallow who cares. Most people now only have key hole scars barely even noticableTamaraachalasia , <misskristin419@...> wrote:>> OK forgive me for such a superficial question, but with a myotomy looming ahead in my future...what kind of scars come with either operation? I'm only 29 and am afraid of having awful scars left after surgery.> > Thanks,> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 Preeti wrote: Lots of people in this group (including me) have had their surgeries done laproscopically. I am unable to understand why a surgeon would recommend an open procedure, unless there really are some medicalreasons. There are a variety of reasons for performing an open vs lap surgery. One is the size of the person -- in a smaller person, there is less room to maneuver all the instruments needed for lap surgery. By doing it open, the surgeon is better able maneuver to do what needs to be done. Another reason is simple anatomical structure -- where does the cut need to be made for the myotomy, and how can it best be accomplished (all of our bodies are put together a bit differently, as we know). Another reason is the experience level of the surgeon -- if he's done 30 open Hellers and 10 lap Hellers, I'd go for an open one. As in so many things in life, experience counts here as well. Another reason is scar tissue and/or how stretched out the esophagus is. If there is a lot of scar tissue built up from prior dilations and/or Botox injections, the surgery can be much more complicated (increasing the risk of perforating the mucosa). An esophagus that has been stretched out is "flimsy" and harder to work with, too. (A couple years ago at a medical conference, Dr. Rice from TCC referred to it as trying to do surgery on tissue paper!) In this situation, an open surgery would give the surgeon more room to work and the option of using a softer touch with the delicate tissues. With that being said, I would be suspicious of a surgeon who recommends ONLY open or ONLY lap surgery without giving any information as to WHY that's the only option they offer. Again, though, if it's b/c they've personally found better success one way or the other and they have a lot of experience doing Hellers, I wouldn't hesitate to have an open surgery performed by an experienced surgeon versus having a lap surgery performed by an inexperienced surgeon. Debbi in Michigan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 OK forgive me for such a superficial question, but with a myotomy looming ahead in my future...what kind of scars come with either operation? I'm only 29 and am afraid of having awful scars left after surgery.Thanks,Debbi Heiser <imahockeymom@...> wrote: Preeti wrote: Lots of people in this group (including me) have had their surgeries done laproscopically. I am unable to understand why a surgeon would recommend an open procedure, unless there really are some medicalreasons. There are a variety of reasons for performing an open vs lap surgery. One is the size of the person -- in a smaller person, there is less room to maneuver all the instruments needed for lap surgery. By doing it open, the surgeon is better able maneuver to do what needs to be done. Another reason is simple anatomical structure -- where does the cut need to be made for the myotomy, and how can it best be accomplished (all of our bodies are put together a bit differently, as we know). Another reason is the experience level of the surgeon -- if he's done 30 open Hellers and 10 lap Hellers, I'd go for an open one. As in so many things in life, experience counts here as well. Another reason is scar tissue and/or how stretched out the esophagus is. If there is a lot of scar tissue built up from prior dilations and/or Botox injections, the surgery can be much more complicated (increasing the risk of perforating the mucosa). An esophagus that has been stretched out is "flimsy" and harder to work with, too. (A couple years ago at a medical conference, Dr. Rice from TCC referred to it as trying to do surgery on tissue paper!) In this situation, an open surgery would give the surgeon more room to work and the option of using a softer touch with the delicate tissues. With that being said, I would be suspicious of a surgeon who recommends ONLY open or ONLY lap surgery without giving any information as to WHY that's the only option they offer. Again, though, if it's b/c they've personally found better success one way or the other and they have a lot of experience doing Hellers, I wouldn't hesitate to have an open surgery performed by an experienced surgeon versus having a lap surgery performed by an inexperienced surgeon. Debbi in Michigan __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 , I had a open myotomy in '95 at the age of 16 I an now 28 I find that yes people stare but mostly I forget the scars are there most people who know me says it looks like I was attacked by a shark or in a knife fight. But more importantly is my husband thought's on it as he is the one who see's my naked the most LOL it doesn't seem to bother him he will even scratch it for me as I seem to get an itch under the skin from the scar. My point is why let it bother you if the scar is all that is there and it means you can eat and swallow who cares. Most people now only have key hole scars barely even noticable Tamara achalasia , <misskristin419@...> wrote: > > OK forgive me for such a superficial question, but with a myotomy looming ahead in my future...what kind of scars come with either operation? I'm only 29 and am afraid of having awful scars left after surgery. > > Thanks, > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 , I had an open in 2002, while I have a 7 inch scar that goes down my midriff. My husband doesn’t seem to mind, heck I got stretch marks from 4 kids they cover more area then my scar LOL. And he still doesn’t care. I refer to it as my war wound! C Warren Co-Founder www.achalasia.us From: achalasia [mailto:achalasia ] On Behalf Of Tamara Sent: Tuesday, July 25, 2006 9:44 AM achalasia Subject: Re: Meena - Open Vs Lap. , I had a open myotomy in '95 at the age of 16 I an now 28 I find that yes people stare but mostly I forget the scars are there most people who know me says it looks like I was attacked by a shark or in a knife fight. But more importantly is my husband thought's on it as he is the one who see's my naked the most LOL it doesn't seem to bother him he will even scratch it for me as I seem to get an itch under the skin from the scar. My point is why let it bother you if the scar is all that is there and it means you can eat and swallow who cares. Most people now only have key hole scars barely even noticable Tamara achalasia , <misskristin419@...> wrote: > > OK forgive me for such a superficial question, but with a myotomy looming ahead in my future...what kind of scars come with either operation? I'm only 29 and am afraid of having awful scars left after surgery. > > Thanks, > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 , Being 's husband, I would have to say that I would much rather her have the scar than the alternative. If it doesn't bother her, and it doesn't, it doesn't bother me. Heck she even wears a bikini and halter tops.. - Husband of P.S. Since this is a " family site " I won't say what REALLY calls her scar. ;o) On 7/25/06, Warren <juliecwarren@...> wrote: , I had an open in 2002, while I have a 7 inch scar that goes down my midriff. My husband doesn't seem to mind, heck I got stretch marks from 4 kids they cover more area then my scar LOL. And he still doesn't care. I refer to it as my war wound! C Warren Co-Founder www.achalasia.us From: achalasia [mailto:achalasia ] On Behalf Of TamaraSent: Tuesday, July 25, 2006 9:44 AM achalasia Subject: Re: Meena - Open Vs Lap. ,I had a open myotomy in '95 at the age of 16 I an now 28 I find that yes people stare but mostly I forget the scars are there most people who know me says it looks like I was attacked by a shark or in a knife fight. But more importantly is my husband thought's on it as he is the one who see's my naked the most LOL it doesn't seem to bother him he will even scratch it for me as I seem to get an itch under the skin from the scar. My point is why let it bother you if the scar is all that is there and it means you can eat and swallow who cares. Most people now only have key hole scars barely even noticableTamara achalasia , < misskristin419@...> wrote:>> OK forgive me for such a superficial question, but with a myotomy looming ahead in my future...what kind of scars come with either operation? I'm only 29 and am afraid of having awful scars left after surgery.> > Thanks,> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 , A couple people posted photos of their post-lap incisions. Very small scars! Mine are barely noticable 3 years after the fact. By the way - what a beautiful baby!mike in WI How low will we go? Check out Messenger’s low PC-to-Phone call rates. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2006 Report Share Posted July 25, 2006 Thank you for your reassurance. I guess I have to relax about it and just focus on being able to eat and drink again! Glad to hear you are doing so well. Glad you like the pic of my car lol, gotta have something to make me smile right now right?! Thanks again, mike in WI <dtfanx@...> wrote: , A couple people posted photos of their post-lap incisions. Very small scars! Mine are barely noticable 3 years after the fact. By the way - what a beautiful baby!mike in WI How low will we go? Check out Messenger�s low PC-to-Phone call rates. See the all-new, redesigned .com. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2006 Report Share Posted July 26, 2006 Breaking out the hatchet does seem a bit drastic. > > > > Hi Ann > > The surgeon i saw recomended open surgery as he has done about 40 of > > these in his time and said it is most sucessful. > > not one single person has had any problems. > > doing an open gives easy access to the lower end of the e. > > I look forward to a good grub up!!!! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2006 Report Share Posted July 26, 2006 I had a lap and was told by my doctor that the lap was much more easier to recover from than an open and that he would not do an open unless something went wrong. Maybe your doc does not know enough about lap - and personally, I would not trust that. Seek a second opinion from a qualified doctor. Mine had only done 15 laproscopic Heller's but that was better than none! > > > > > > Hi Ann > > > The surgeon i saw recomended open surgery as he has done about > 40 of > > > these in his time and said it is most sucessful. > > > not one single person has had any problems. > > > doing an open gives easy access to the lower end of the e. > > > I look forward to a good grub up!!!! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2006 Report Share Posted July 26, 2006 Open is only for a problem Lap is the way to go -- Re: Meena - Open Vs Lap. I had a lap and was told by my doctor that the lap was much more easier to recover from than an open and that he would not do an open unless something went wrong. Maybe your doc does not know enough about lap - and personally, I would not trust that. Seek a second opinion from a qualified doctor. Mine had only done 15 laproscopic Heller's but that was better than none!> > >> > > Hi Ann> > > The surgeon i saw recomended open surgery as he has done about > 40 of > > > these in his time and said it is most sucessful.> > > not one single person has had any problems.> > > doing an open gives easy access to the lower end of the e.> > > I look forward to a good grub up!!!!> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 29, 2006 Report Share Posted July 29, 2006 Dear All Sorry about the delay in replying.The topic whether to opt for a lap or open is I feel the choice of the individual.I attended the meeting with my Wife meena and was very inpressed with the consultant.He informed us that he had done 40 plus ops both through the coventional and lap.Lap is obviously less invasive,painful and carries less risk.But in his opinion it was less successful due to not having full access to the oesophageus and the muscles around it. My wifes condition has only recently been diagnosed and have meet other people with the condition one person who has the condition,has had the three procedures botox ballon and lap.He needed another op which which was full open surgery and he felt it was the best option and has no regrets. Meena did not take the decision litely on open surgery,but she felt that this should alleviate her condition and hopefuly not need further surgery We very much welcome all points of veiw. Best wishes Jim and Meena - In achalasia , Mukesh Shah <mukeshshah_fine@...> wrote: > > Yes..I agree with you, ,.. > Recently I consulted at least 6 top doctors > To check Lap v/s Open.. > All suggested Lap....and open,only if necessary,in very complex cases.. > Mukesh . > > > > Re: Meena - Open Vs Lap. I had a lap and was told by my doctor that the lap was much more easier to recover from than an open and that he would not do an open unless something went wrong. Maybe your doc does not know enough about lap - and personally, I would not trust that. Seek a second opinion from a qualified doctor. Mine had only done 15 laproscopic Heller's but that was better than none! > > > > > > Hi Ann > > > The surgeon i saw recomended open surgery as he has done about > 40 of > > > these in his time and said it is most sucessful. > > > not one single person has had any problems. > > > doing an open gives easy access to the lower end of the e. > > > I look forward to a good grub up!!!! > > > > Quote Link to comment Share on other sites More sharing options...
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